- Rochester Regional Health (Rochester, NY)
- …+ Oversees the review process of third party payors with oversight from the Director of Care Management. Provides daily oversight of the onsite review activities of ... plan for special medical management studies/reports required to ensure regulatory compliance . + Provides ongoing support to the Utilization Committee as assigned.… more
- WMCHealth (Valhalla, NY)
- …and capital budget, and aid the Manager of Financial Planning and the Director of Budget & Reimbursement in third party analysis and preparation of internal ... external agencies. + Gathers data in preparation of Annual Medicare & Medicaid Cost Reports. + Aid in the...3 year occupational mix data. Responsible for research and compliance with cost reporting requirements. + Performs other duties… more
- HCR Home Care (Rochester, NY)
- …patient . + In collaboration with the HR Department and Regional Director , participate in recruitment of qualified personnel and implementation of effective ... and participate in Agency's mandatory HIPAA/Privacy Program and Employee Compliance Program . + Read and adhere to all...years' experience in certified home health care . + Medicare home health experience and management experience . +… more
- Loretto Management Corporation (Syracuse, NY)
- …and procedures, and third party agency regulations. + Applies knowledge of various Medicare , Medicaid, and other third party billing rules. + Keeps current knowledge ... + Interprets and applies organization policy, ensuring all activities are in compliance . + Delegates, organizes and coordinates the daily operations within the… more
- Callen-Lorde Community Health Center (New York, NY)
- …health issues. About the Role TheManager of Billingworks directly with the Director of Billing Operations to oversee all billing, reconciliation, and collections for ... This role manages a growing team, develops and refines operational practices, ensures compliance with all applicable laws and regulations, and serves as a key… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the ... procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care… more