- Saratoga Hospital (Saratoga Springs, NY)
- …surgical procedures and follow-up appointments. Works with office and clinical staff to coordinate scheduling of patients. Obtains insurance pre-authorization ... Additional administrative duties may include maintaining medical records, billing, and coding information for insurance purposes. What You'll Do + Pre-Authorization:… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …applications and business processes + Support sales growth + Integrate with clinical team to develop process improvement roadmap + Assist management with ... as assigned **Qualifications** **Job Skills Required:** + Proficiency in SQL and other coding languages (Python, R, Java, etc.) + PBM/GPO experience a plus + Strong… more
- Finger Lakes Health (Geneva, NY)
- …For The right candidate is a motivated, organized leader who thrives in a clinical setting and has a passion for teamwork and patient care. Education & Certification ... work independently while leading a team. + Knowledge of CPT & ICD-10 coding , surgical scheduling, and outpatient registration. + A strong sense of professionalism… more
- Regeneron Pharmaceuticals (Armonk, NY)
- …delivering metrics and analytics related to the operational performance of running clinical trials along with developing use cases for Artificial Intelligence (AI) ... connections between data assets. In addition, there will be significant hands-on coding involved in making this position successful. **A typical day in this… more
- Molina Healthcare (New York, NY)
- …pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming and problematic ... the financial impact to effectively negotiate new or amended contracts (eg coding and chargemaster impact analysis) + Strong written and verbal communication skills… more
- Nuvance Health (Rhinebeck, NY)
- …physician's offices following the designated protocols of the scheduling systems and clinical EMRs. May initiate contact to patients to obtain additional information ... in the appropriate system when necessary. Requires an understanding of coding , procedural protocols, and the charge description master. 9. Employee responsible… more
- Saratoga Hospital (Malta, NY)
- …and verification tools and online resources. Check Medical Necessity. Diagnosis Coding and abstracting when needed by department. Able to complete authorization ... You Bring * Previous customer service experience, preferably in a healthcare or clinical setting * High School diploma or GED equivalency * Strong communication and… more
- Stony Brook University (Stony Brook, NY)
- …a **Care Manager** is a valuable member of our team, who provides clinical services to our patient population. Qualified candidates will demonstrate superior patient ... prioritize their work and follow up with cases. **Preferred:** CM, UM, Quality, Coding , Risk or MCG Certification Working knowledge of MCG or Interqual PRI Certified… more
- Molina Healthcare (Buffalo, NY)
- …with Molina policies/procedures or CMS guidelines/regulations, or to assess the non- clinical quality of customer service provided to Molina members. * Provides ... related to utilization management, pharmacy, quality of care, and correct coding . * Independently delivers training and presentations to assigned providers and… more
- Northwell Health (Melville, NY)
- …impacts other areas of the revenue cycle (eg, front-end registration, coding , denials management) and collaborate to implement preventative measures or corrective ... across the Health System enterprise (eg, Patient Access, Financial Assistance, Clinical Departments, IT, Finance, Compliance) to achieve shared goals and objectives,… more