- Mount Sinai Health System (New York, NY)
- **Job Description** **Clinical Revenue Auditor-CDM Patient Financial Services- Corporate -Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount Sinai ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to...and reimbursement. This position will report to the Senior Director . This role will serve as a crucial link… more
- Mount Sinai Health System (New York, NY)
- …Description** **Senior Financial Analyst, Enterprise CDM -Patient Financial Services- Corporate 42nd Street-Full-Time- Days- Hybrid** The Senior Financial Analyst, ... workflows and quality reporting measures. This position will report to the Director of the Enterprise CDM. **Qualifications** + Bachelor's degree in public… more
- CDPHP (Latham, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity ... York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering… more
- Guidehouse (New York, NY)
- …remote **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle ... services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject...Coding Initiatives (CCI) + Medically Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
- Humana (Albany, NY)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... subject matter experts, members of Humana's executive Management Team, and corporate , functional, and business unit leaders. Recent example projects include… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals of the company. The SSR ... and commercial insights and monthly business planning discussions with Regional Sales Director *Better use of existing tools like Excel, Word *Use of Technology… more
- Callen-Lorde Community Health Center (New York, NY)
- MANAGER OF BILLING (CPC) Job Details Job Location Corporate /Administrative Office - Chelsea - New York, NY Secondary Job Location(s) Callen-Lorde Community Health ... health issues. About the Role TheManager of Billingworks directly with the Director of Billing Operations to oversee all billing, reconciliation, and collections for… more
- HCR Home Care (Rochester, NY)
- …documentation of such conferences via the Case Conference Coordination Note in the medical record . + With the assistance of the Clinical Field Staff Supervisor ... patient . + In collaboration with the HR Department and Regional Director , participate in recruitment of qualified personnel and implementation of effective… more