- Ellis Medicine (Schenectady, NY)
- …in MIDAS per policy. + Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals . + Assists UM Coordinator with ... files, updating referral information, and verifying information related to health insurance or benefits. Role requires interaction with clients, payers, post-acute… more
- Elderwood (Waverly, NY)
- …phone calls) with case managers to provide concurrent updates as requested by Insurance Companies, handles Third Party appeals , peer to peers as applicable ... liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all types of communication (eFax,...2 years of experience within the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed… more
- Rochester Regional Health (Rochester, NY)
- …patient documentation, + Responsible for the timely completion and submission of insurance authorization request and denial appeals . + Conducts quality audits ... of patient records and processes + Provides initial and ongoing assessment for clients in order to determine diagnosis and appropriate level of care. + Provides individual, family and group counseling, which engages and motivates clients throughout treatment.… more
- Ellis Medicine (Schenectady, NY)
- …in MIDAS per policy. Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals . * Denial Management Activities; ... Assists Denial Management staff with clerical support. Performs audit activities under the supervision of the Case Management Specialist and the Director of Case Management and Social Work Services. more
- NYU Rory Meyers College of Nursing (New York, NY)
- …posted and expected reimbursement for Article 28, Managed Care, Commercial Insurance and other payers. Analyze, audit and recover outstanding receivables. Identify ... the revenue cycle processes. Directly manage and resolve all assigned underpayment appeals , follow-up and payer relationships. Report to management any gross payment… more
- WMCHealth (Valhalla, NY)
- Lead Insurance Verifier Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Patient Accounts-WMC Health ... Internal Applicant link Job Details: Job Summary: The Lead Insurance Verifier is responsible for leading the payment resolution analysts… more
- Mohawk Valley Health System (Utica, NY)
- …palliative care, end-of-life-care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care, pay-for-performance ... throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as a liaison with payers… more
- Staffing Solutions Organization (Albany, NY)
- …the new eligibility system for New York's Complex Medicaid population, and the new appeals management system. The individual will act as a liaison between the DEMI ... + Interpret guidance and instructions related to Medicaid eligibility, enrollment, appeals processes, and notices from a requirements perspective; perform analysis… more
- UHS (Johnson City, NY)
- …OverviewUnited Health Services (UHS) is seeking a detail-oriented and proactive Commercial Insurance Liaison to join our team. In this critical role, you will ... services provided to patients with commercial or managed care insurance plans. Your work helps ensure timely access to...and Compliance teams by assisting in the reconsideration and appeals process for denied claims + Collaborates with clinical… more
- Catholic Health Services (Melville, NY)
- …Details Under the direction of the Physician Revenue Realization Manager, the Insurance Follow-Up Representative is responsible for investigating claims status with ... insurance carriers, correcting and resubmitting denied claims in the...standards and procedures. + Determines reason for denial and appeals accounts as necessary. + Reviews and edits any… more