- Catholic Health Services (Melville, NY)
- …staff and other health team members to understand and help comply with payer / contract issues and appeal preparation. Maintains strict standards for patient ... Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according to industry… more
- Datavant (Albany, NY)
- …healthcare. Datavant is seeking a detail-oriented and proactive **Marketing Operations Manager ** to support the operational backbone of our enterprise marketing ... across global regions. Primary point of contact for overseeing our HubSpot contract to ensure our contacts and marketing activities are aligned with our… more
- Cardinal Health (Albany, NY)
- …directly to the Director, Market Access & Commercial Operations, the Sales Enablement Manager will work closely with the selling departments to advance our ongoing ... the sales organization. This includes sales tools/productivity improvement, customer contract administration, business metrics/analytics, and rewards architecture. + Gather… more
- Albany Medical Center (Albany, NY)
- …- required + Computer skills (High proficiency) + Insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of ... be able to work in conjunction with Nursing Supervision and Patient Triage Manager for accurate bed assignment for inpatient and observation patients. In addition,… more
- Mount Sinai Health System (New York, NY)
- …Street - Full-Time Days** Under the supervision of the Patient Financial Supervisor/ Manager , performs a variety of patient accounting functions, including but not ... accounts (billing) using PFS HIS Systems, Clearing House Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims to… more
- University of Rochester (Rochester, NY)
- …compliance with State and Federal Regulations, accreditation standards and third-party payer requirements for the purpose of minimizing risk and exposure. This ... business, market growth, service development and payor/PBM strategies. + Participates with payer contracting leaders of the health system in the evaluation and… more
- University of Rochester (Rochester, NY)
- …be billed consistently with Federal and State regulations as well as specific payer agreements. Ensures that all billing and payments are processed per proper coding ... regulations and contracts . Prepares and maintains billing for these claims daily....for these claims daily. Assists the PFS Revenue Cycle Manager and multiple department administrators with planning and problem… more
- Rochester Regional Health (Rochester, NY)
- Job Title : Hospice/Palliative care RN Case Manager DEPARTMENT: Hospice/Palliative care LOCATION: Monroe County STATUS: Full Time SCHEDULE: Monday-Friday 8:30a-5p ... SUMMARY The RN Case Manager is responsible for the delivery of comprehensive nursing...of comprehensive assessment/documentation, which may include assessments required by payer sources (eg, Outcome and Assessment Information Set (OASIS),… more
- Rochester Regional Health (Rochester, NY)
- Job Title: RN Case Manager DEPARTMENT: Home Care LOCATION: Central Monroe County STATUS: Full Time SCHEDULE: Monday-Friday 8:30a-5p Sign-On Bonus: Up to $20,000 ... SUMMARY The RN Case Manager is responsible for the delivery of comprehensive nursing...of comprehensive assessment/documentation, which may include assessments required by payer sources (eg, Outcome and Assessment Information Set (OASIS),… more
- Amgen (Brooklyn, NY)
- …our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a **Specialty Representative or Senior ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: + Provide current and comprehensive knowledge of Amgen's… more