- 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
- Catholic Health Services (Melville, NY)
- …Long Island's Top Workplace! Job Details Under the direction of the Manager of the Revenue Realization Center, the Patient Accounts Supervisor provides assistance ... by support staff, referring more complex issues to the Manager Assist in updating policies and procedures as necessary....verbal and prepared written communication. Ensures CHS managed care contracts terms and conditions are adhered to by support… more
- Rochester Regional Health (Rochester, NY)
- Job Title : RN Case Manager DEPARTMENT: Home Care LOCATION: Monroe County STATUS: Full Time SCHEDULE: Monday-Friday 8:30a-5p SUMMARY The RN Case Manager is ... changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and… more
- Rochester Regional Health (Rochester, NY)
- Job Title: RN Case Manager DEPARTMENT: Home Care LOCATION: 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
- 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
- University of Rochester (Rochester, NY)
- …or negative trends (increases) in specific edits 5% Utilize in-depth knowledge of payer contracts and reimbursement methodologies to address credit balances as ... This position performs under the general direction of the Manager , with significant latitude for independent initiative and judgment....departments with backlogs for that time period to the Manager to provide feedback to the appropriate URMC or… more
- Rochester Regional Health (Rochester, NY)
- …duties at Massena Hospital. Reporting to the Patient Access Services Manager , the role includes pre-registration, full registration, insurance verification, data ... insurance eligibility, process co-payments, and ensure compliance with third-party payer requirements. + Answer calls professionally, assist with inquiries, and… more
- Rochester Regional Health (Rochester, NY)
- …champions service excellence. Facilitates assignment of level of care, considers payer requirements and responds accordingly to avoid adverse financial consequence ... daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to address complex clinical issues, system barriers, and patient/family issues,… more
- University of Rochester (Rochester, NY)
- … Manager ensures appropriate credit balance prioritization based on contract and government requirements, prepares reports, identifies credit balance trends, and ... as billing and collection operations, including compliance requirements as well as payer credentialing, contracting and reimbursement practices. The Manager for… more
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