- CenterWell (Albany, NY)
- …quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value of each opportunity ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
- Bassett Healthcare (Cooperstown, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports Ends calls by asking patient if there is anything else we can do for ... them today as observed by Supervisor and as noted in compliance reports Takes clear, complete and accurate phone messages,(and follows up on these messages to make… more
- Mount Sinai Health System (New York, NY)
- …issues in an accurate and timely fashion. In collaboration with the Underpayment Team manager , the Senior CBO Appeals Analyst will work to further the CBO's goals of ... enhancing contract compliance by researching, analyzing, documenting, and reporting underpayment trends, payer updates, payer regulations, and provide feedback on… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …they need for healthy living. JOB SUMMARY: The objective is to ensure ongoing compliance , provide support and training by monitoring the field staff on a monthly ... to utilize in developing strategy and plans that ensure compliance and can also be used to keep class...policies and procedures and job responsibilities of the account manager + Create and implement training materials and tools… more
- Whitney Young Health Center (Albany, NY)
- …policies, procedures, controls and reporting systems. Ensures legal and regulatory compliance for all accounting and financial reporting functions. Manages financial ... corporate, and other tax returns and related reports, and ensure ongoing compliance with applicable tax codes, rules and regulations. + Establishes best practices… more
- Evolent (Albany, NY)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Good knowledge US Healthcare - Payer side, Knowledge of Medicare , Medicaid, Commercial Plans and understanding on claims workflow,… more
- Highmark Health (Albany, NY)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- WMCHealth (Hawthorne, NY)
- …the appropriate write-off codes + Monitors any denial vendor relationships for compliance and performance, and suggests modifications to Revenue Cycle leadership as ... necessary + Monitors contract compliance and escalates to Managed Care staff as needed...quality + Works under the direction of the Denial Manager to analyze denial and underpayment reports, provide feedback… more
- Fresenius Medical Center (Hempstead, NY)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... under the supervision of a nurse. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education… more
- New York State Civil Service (Wassaic, NY)
- …technical assistance and administrative support to treatment teams to ensure compliance with state and federal guidelines* Identify needs of service recipients ... the supervision of staff, ensuring that training is adequate and meets compliance standards. * Complete minor notable incident investigations * Assist the DDPSIV… more