- Humana (Albany, NY)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members in an… more
- Mount Sinai Health System (New York, NY)
- …registration, coding , and billing accuracy and performance. * Support clinical leaders and administrators by providing education on revenue cycle best practices ... **Job Description** ** Director of Revenue Engagement- Patient Financial Services-Corporate 42nd Street -Full-Time Days** The Director of Revenue Engagement acts… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Provides clinical expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. + Makes accurate and consistent ... mentor and resource throughout the workday in training medical director colleagues, as needed. + Conduct clinical ...medical director colleagues, as needed. + Conduct clinical appeal case reviews and may require peer-to-peer discussions… more
- Sumitomo Pharma (Albany, NY)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including… more
- Stony Brook University (St. James, NY)
- Director Revenue Cycle Applications IT **Position Summary** At Stony Brook Medicine, the Director Revenue Cycle Applications IT serves as a strategic leader ... scheduling, health information management, and patient accounting systems. **Duties of a Director Revenue Cycle Applications IT may include the following but are not… more
- CVS Health (New York, NY)
- …Responsible for predetermination reviews ad reviews of claim determinations, providing clinical , coding , and reimbursement expertise, using multiple computer ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources....Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from… more
- Mount Sinai Health System (New York, NY)
- …touches, aged AR trends and billing lags. + Collaborate with department such as coding , IT, clinical service areas and appeals to ensure seamless end-to-end ... **Job Description** **Senior Director , Patient Financial Services (Backend Revenue Cycle) Corporate...departments (eg, DTP, Human Resources, Managed Care, Finance, and clinical departments) + Collaborates with finance, managed care and… more
- Catholic Health Services (Riverhead, NY)
- …Health was named Long Island's Top Workplace! Job Details The Site Director provides leadership, direction, and ongoing administration and management for all aspects ... assigned medical offices of the CHS Physician Medical Group. The Site Director ensures policies and procedures are implemented for efficient, effective management of… more
- Mount Sinai Health System (New York, NY)
- …improvements in financial performance, operational efficiency, and patient experience. The Director will collaborate closely with operational, clinical , and IT ... **Job Description** ** Director of RCM EPIC Optimization Patient Financial Services...**Automation & Innovation** 1. Identify automation opportunities across registration, coding , billing, denial management, and patient collections to reduce… more
- Mount Sinai Health System (New York, NY)
- …managed care. ? Expected to stay updated on current medical billing and coding processes, clinical procedures, and relevant disease states. ? Demonstrated ... and reimbursement. This position will report to the Senior Director CDM of the Mount Sinai Health System This...improve efficiency and reduce administrative burden. + Collaborate with clinical , billing, coding , and IT departments to… more
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