- FlexStaff (New York, NY)
- …with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading ... center, located in Manhattan, NY. The company provides incredible benefits with health insurance premiums as low as $1 per paycheck and generous paid time off.… more
- Cardinal Health (Albany, NY)
- …with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and ... timely access to necessary services + Assist in obtaining insurance , prior authorization, and appeal requirements and outcomes + Help patients understand their … more
- Humana (Albany, NY)
- …other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or InterQual… more
- J&J Family of Companies (New York, NY)
- …benefit/buy & bill benefit design, coding, billing, prior authorization, and appeals processes + Demonstrated capabilities and performance success in prior roles ... following Company sponsored employee benefit programs: medical, dental, vision, life insurance , short- and long-term disability, business accident insurance , and… more
- Rochester Regional Health (Rochester, NY)
- …coverage policies and/or phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed according to department ... and terms, and relevant HIPAA privacy rules and other regulations. Expertly use insurance websites to explore denial issues and resolve them using the tools in… more
- Resource Center for Independent Living (Utica, NY)
- …tactics to diversify funding sources. + Create targeted campaigns and appeals tailored to different donor segments, including individual, corporate, and ... up to 10% employer investment. + Heavily subsidized Health Insurance with co-pays. + Vision and Dental insurance... Insurance with co-pays. + Vision and Dental insurance . + Flexible Spending Accounts-Medical and Dependent Care. +… more
- Rochester Regional Health (Rochester, NY)
- …Days SUMMARY:This role helps patients' access necessary medications by navigating insurance and financial support options while fostering clear communication across ... requests for cardiology medications, and monitor approvals, step therapy requirements, and appeals to ensure timely access to treatment. + Collaborate with providers… more
- Bassett Healthcare (Cooperstown, NY)
- …follows up as indicated. + Communicates with Finance Department on issues of insurance , denials, authorizations and self-pay issues as needed + Interfaces with IPRO ... indicators including LOS, excess days, resource utilization, denials and appeals , swing bed statistics. + Uses data to drive...vacation, and sick time + Medical, dental and vision insurance + Life insurance and disability protection… more
- University of Rochester (Rochester, NY)
- …closure and obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... to follow up on disputed, unpaid, underpaid, or overpaid insurance or contracted service accounts in order to bring...for in-person meetings and phone conferences with third party insurance representatives due to claim and system issues requiring… more
- Elderwood (Buffalo, NY)
- …therapy services. + Submit requests, track statuses, and follow up with insurance companies to secure timely approvals. + Collect and organize documentation ... directors, and billing staff. + Assist with peer-to-peer requests, claim denials, appeals , and external audits. + Maintain accurate records of all communications… more