- CVS Health (Albany, NY)
- …but help them stay well in body, mind and spirit. The 340B Account Manager is responsible for growing customer Contract Pharmacy and retail pharmacy business ... attainment and patient participation for contracted business arrangements with clients, payer organizations and retail pharmacies. This position will require travel… more
- Centene Corporation (New York, NY)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... Professional (eg, LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required Pay Range: $73,800.00 - $132,700.00 per year… more
- Cardinal Health (Albany, NY)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... activity owners are missing deadlines consistently and/or are unresponsive. + Managing contract amendments and project change requests for the client. + Coordinates… more
- Rochester Regional Health (Rochester, NY)
- …patient services. Under the general supervision of the Patient Access Services Manager , this position performs imperative duties including registration pre and full, ... computer system reviewing for mandatory precertification and/or other third party payer requirements + Collects complete financial information to include payer… more
- Rochester Regional Health (Rochester, NY)
- …computer system reviewing for mandatory precertification and/or other third party payer requirements + Collects complete financial information to include payer ... eligibility via insurance websites, where appropriate + Completes Medicare Secondary Payer Questionnaire for all Medicare-eligible patients + Completes all admission… more
- CenterWell (Albany, NY)
- …to the clinical team who will deliver the services requested. + Identify potential payer sources, verify benefits with payer sources (as required by department ... visits from case managers. Establish primary payers and document conversations with payer sources. + Access national or regional account information, including the… more
- Rochester Regional Health (Rochester, NY)
- …Revenue Cycle + Review and scan insurance cards, checking for precertification and payer requirements. + Collect full financial information: payer name, ID and ... insurance eligibility via appropriate websites. + Complete the Medicare Secondary Payer Questionnaire for eligible patients. + Complete all required Medicare… more
- Aspen Dental (Albany, NY)
- …Enrollment Manager . **Key Responsibilities:** + Prepare, submit and track payer enrollment applications for new providers and existing provider changes. + ... or issues. + Update provider demographic and practice information with all contract payers as needed. + Ensure recredentialing timelines and requirements are… more
- Novo Nordisk (Elmira, NY)
- …current co-promotion partners. Internally, the CMCS I reports to the District Business Manager of the specific sales territory. The CMCS I also interacts and ... basis with territory level impact + Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer … 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
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