- Veterans Affairs, Veterans Health Administration (Northport, NY)
- Summary The Chief of Staff (COS) reports to the Medical Center Director and is a member of the Executive Leadership Team. The COS provides leadership for clinical ... subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …with the Palliative Care Team, which consists of the Palliative Care Medical Director , a part-time H&PC physician, and a dedicated social worker. A full-time H&PC ... subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address ... and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and providers to obtain… more
- University of Rochester (Rochester, NY)
- …infrastructure as outlined in the NY State Office of Mental Health (OMH) Prior Approval Review (PAR). The Senior Health Project Coordinator will collaborate closely ... the Western NY Comprehensive Care Center for Eating Disorders Director and Medical Director , as well as...billing system and all necessary front-end support operations, including claims submission and revenue cycle management. + Design and… more
- Outreach Development Corporation (Richmond Hill, NY)
- …The medical billing and collections specialist position reports to the Billing Director . The role manages, monitors and ensures the execution of the billing ... Specialist Position Summary: + Compile, monitor and bill out claims . + Verify client's insurance benefits on an ongoing...an as needed basis) by the supervisor. Qualifications + Prior Medical Billing of 3 years and more. +… more
- City of New York (New York, NY)
- …and others as necessary. This position will report directly to the Deputy Director and Director for the Crime Victims Assistance Bureau. JOB RESPONSIBILITIES: ... Justice system. Assist clients with the completion of and filing of victim compensation claims with the State Office of Victim Services. Prepare letters and forms to… more
- OLV Human Services (Lackawanna, NY)
- …of services within assigned sites and/or seeks appropriate assistance from the Director of Residential Services. - Attends all required internal trainings to ... state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others. - Performs other...assumes other responsibilities as may be assigned by the Director of Residential Services. - Any other duty as… more
- Sanofi Group (Albany, NY)
- …customers. In this field-based position, the FRM will report to a field-based Director , Field Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The ... financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion center procedures and… more
- Arnot Health (Elmira, NY)
- …on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/ prior auth) will review and appeal as appropriate for concurrent and retrospective ... collect patient accounts denied by payer. Under the direction of the System Director of Care Coordination coordinates data with other Arnot Health departments and… more
- Centene Corporation (New York, NY)
- …managing them in a professional and competent manner. Processes all prior authorizations to completion utilizing appropriate review criteria. Identifies and refers ... + Provides first level RN review for all outpatient and ancillary prior authorization requests for medical appropriateness and medical necessity using appropriate… more