- Molina Healthcare (Rochester, NY)
- …with Molina policies/procedures or CMS guidelines/regulations, or to assess the non- clinical quality of customer service provided to Molina members. + Provides ... issues related to utilization management, pharmacy, quality of care, and correct coding , for example. + Independently delivers training and presentations to assigned… more
- Robert Half Office Team (Syracuse, NY)
- …all necessary data and documentation are collected and verified. * Apply medical coding standards, such as ORG-10, to determine and confirm medical necessity. * ... or equivalent is required. * Minimum of one year of experience in a clinical laboratory or healthcare administrative role is preferred. * Strong written and verbal… more
- Nuvance Health (Poughkeepsie, 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 (Ballston Lake, 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
- Hudson Headwaters Health Network (Queensbury, NY)
- …other diagnostic procedures. + Provides preventive dental services to patient. + Provides clinical dental care to patients in an effective and efficient manner in ... is completed in a timely and accurate manner. Maintains a high level of coding accuracy. + Care is provided efficiently in terms of productivity, utilization of… 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
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Outpatient Administrative Specialist will provide clinical administrative support to the assigned ambulatory area. May assist in the preparation of ... of medical terminology, medical billing/insurance requirements, familiarity with medical coding , and excellent written/oral communication skills required. Computer skills… more
- Saratoga Hospital (Saratoga Springs, NY)
- …verification tools and online resources. Check Medical Necessity and Diagnosis Coding and abstracting when needed. Complete authorization requests when needed/as ... physical, occupational or speech therapies; surgery or other imaging services. Schedule non- clinical staff as directed by manager. What You Bring + High School… more
- Oracle (Albany, NY)
- …Suite. Our product is designed to automate complex healthcare workflows-from clinical decision support to patient communication to reimbursement processes. Your ... + 10+ years building and operating distributed services at scale + Strong coding skills in modern languages, notably Java and/or C++ Expert in system design,… more
- Cardinal Health (Albany, NY)
- …Management (RCM) contributes to Navista_** Revenue Cycle Management oversees clinical and administrative processes that healthcare providers utilize to capture, ... and performance evaluations for AR follow-up staff. + Coordinate with billing, coding , and other departments to address claim issues and streamline workflows. +… more
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