- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Decisions… more
- Arnot Health (Elmira, NY)
- …of Care Coordination coordinates data with other Arnot Health departments and third party payers to discourage preventable denials DUTIES AND RESPONSIBILITIES: 1. ... requirements of 3rd party payers 3. Reviews denials from third party payers obtained from correspondence and or payments....other department staff 5. Relays denial information to appropriate billing clerks and management. 6. Follow up on denial… more
- DIRECTV (New York, NY)
- …timely and accurate invoicing. + Intake, track, and steer resolution of data or billing issues related to third -party data vendors or licensees. + Monitor data ... DIRECTV is seeking a detail-oriented and analytical Sr. Account Manager to join our Ad Sales Data Partnerships team. This role will support our data partnerships… more
- Elderwood (Buffalo, NY)
- …pricing administration, auditing procedures, and financial reporting. You'll lead a high-performing team- Billing Manager , A/R Revenue Cycle Manager , and ... Revenue Cycle, you will oversee the strategic and operational functions of our Pharmacy Billing Department. This includes full ownership of billing processes,… more
- Mount Sinai Health System (New York, NY)
- …medical/clinical staff, Finance personnel, department managers, access services staff, and Billing Assistants. External contacts may include third party payers, ... direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access… more
- Publicis Groupe (New York, NY)
- …Supervisor, Investment Excellence, is responsible for day-to-day media activation, budget and billing oversight, and media buy hygiene for the Investment team. This ... more. + Maintain deep knowledge of platforms including MBox, Prisma, Campaign Manager (CM/DCM). + Enforce and evolve templates/best practices for QA, taxonomy, and… more
- Ellis Medicine (Schenectady, NY)
- …charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, ... Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations,… more
- Whitney Young Health Center (Albany, NY)
- …guidelines, policies and procedures. The Staff Pharmacist will also support the Pharmacy Manager in leading and directing the pharmacy team, by being accountable and ... + Supervises pharmacy department team members in conjunction with the Pharmacy Manager to assure performance of required functions and adherence to WYH policies… more
- SUNY Upstate Medical University (Syracuse, NY)
- …over the MSGs and provides some centralized services and functions including: third party payor contracting, compliance , privacy and security, quality programs, ... including excellent Excel skills and analytic processes. Knowledge of professional billing and third -party health insurance negotiation and administration.… more
- Albany Medical Center (Albany, NY)
- …ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide ... and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring… more