- Bassett Healthcare (Hamilton, NY)
- …requests within 24-72 hours Communicate to patients out of network insurance deductibles and "co- insurance ." Acquires medical necessity documentation Obtains ... prior approval or prior authorization as required by the patient's insurance Obtains all information necessary to complete the referral process ensuring demographic… more
- SUNY Upstate Medical University (Syracuse, NY)
- …written/oral communication skills required. Preferred Qualifications: Knowledge of medical billing requirements and ability to recognize insurance fraud/abuse ... including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other… more
- Humana (Albany, NY)
- …with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Cardinal Health (Albany, NY)
- …policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding , preferred + Strong attention to detail is ... These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the… more
- SUNY Upstate Medical University (Syracuse, NY)
- …managing EPIC referral work queues, communicating with outside agencies such as insurance carriers, billing companies and/or other support agencies preferred. ... Summary: The Outpatient Administrative Specialist will assist with patient registration, insurance verification, appointment check in and check out, and appointment… more
- SUNY Upstate Medical University (Syracuse, NY)
- …terminology, familiarity with medical coding . Knowledge of medical authorizations, billing requirements and the ability to recognize insurance fraud/abuse is ... are needed and obtain necessary supportive information. Obtain appropriate insurance authorizations when needed. Obtain additional records, reports, radiological… more
- Weill Cornell Medical College (New York, NY)
- …and compliance standards. + Obtains, reviews and updates patient demographic and insurance information within the practice management billing system. + Verifies ... Record (eMR) system (ideally EPIC-Care). + Knowledge of CPT, ICD-9, and ICD-10 coding . + Working knowledge of third party payor reimbursement - Medicare, Medicaid,… more
- Northwell Health (New York, NY)
- …Program, HIPAA and other regulatory standards; ensures compliance related to billing , coding , and documentation standards; executes the disaster recovery ... 3.Supervises business functions (ie appointment scheduling, patient pre-registration/ registration, insurance verification, referral management/pre-authorization, co-pay collection, charge entry and… more
- Rochester Regional Health (Rochester, NY)
- …(Or equivalent) PREFERRED QUALIFICATIONS: + Knowledge of medical terminology, EHR systems, coding , billing , and HIPAA. + Strong customer service, communication, ... ensures a compassionate first impression, collecting health information, verifying insurance , processing co-payments, and scheduling appointments. They will also… more
- Weill Cornell Medical College (New York, NY)
- …to patient appointment to ensure smooth check-in. + Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to ... in the practice's standard of operations policies regarding patient care and billing related activities. + Identifies areas of improvement for the front desk,… more
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