- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 USC 7405 of a physician graduate of a school of… more
- Catholic Health (Cheektowaga, NY)
- …documentation accuracies and reduce coding denial rates; maintaining and updating the claim scrubbers ensuring all coding edits are current and compliant with ... applicable federal and state regulation and with CMS and AMA coding guidelines. The Director will be responsible to maintain coding education materials accurate and current based on coding guidelines and policies to be shared with all practices/private clients… more
- Travelers Insurance Company (New York, NY)
- …designation. **What is a Must Have?** + Four years of underwriting, claim , operations, risk assessment, actuarial, sales, product, or finance experience. **What Is ... in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k)… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 USC 7405 of a physician graduate of a school of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Quality assurance and training, resolving ED Missing Reg Items work queues and claim edit errors, Assists with audits & analysis of denials. Assists with development ... of training materials. Appropriately relays issues identified as needing higher level of intervention. Acts as liaison between the Emergency Department & Registration when problems/issues arise. Provide direction and leadership to subordinate staff assigned to… more
- Stony Brook University (Commack, NY)
- …enrollment. Such as, but are not limited to, the following: Claim denials; Authorization issues; Provider participation inquiries; Transferring of member panel ... inquiries; and Provider location inquiries. As needed, direct questions and escalations to the Director of Enrollment. + For non-Clinical Practice provider groups, review, analyze, and report on various data sets deemed necessary by the department. Such as,… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 USC 7405 of a physician graduate of a school of… more
- Guthrie (Binghamton, NY)
- …related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals. Assesses and coordinates discharge planning needs with ... healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to federally mandated and third party payer utilization management rules and regulations The pay range for this position… more
- MTA (New York, NY)
- …and engineering firms . Develop independent change order estimates and a ssist in claim analysis. Track and forecast price escalation in the NY region for material, ... labor , etc. Provide guidance about escalation to be adopted for long-term projects . Supervises the development of conceptual and feasibility cost model estimates utilizing historic benchmarking information and industry experience to develop complete… more
- Mount Sinai Health System (New York, NY)
- …and troubleshoot root causes, if/when needed. + Assist with reviewing and maintaining claim edits and identify edit discrepancies based on coding guidelines and make ... recommendations to Associate Director for updates and changes. + Work with Associate Director to implement and maintain on-going coding educational sessions that address coding edits from various depts., medical necessity and documentation gaps. + Work in… more