- Healthfirst (NY)
- …dynamic environment with various opportunities** + **Knowledge of specialty pharmaceuticals and billing practices in the medical benefit** + **Knowledge of ... authorization requests and units for medications requested under the medical benefit** + **Assesses provider-submitted clinical information for clinical...regulations of the Centers for Medicare and Medicaid Services including but not limited to… more
- WMCHealth (Valhalla, NY)
- …willing to complete continued education/trainingrequirements. Special Requirements: Knowledge of Medical Insurances ( Medicare , Commercial, HMO's, PPO's, etc.); ... speaking skills, excellent writing and communication skills, and knowledge of medical terminology. Reliability and dependability for given work schedule. About Us:… more
- Amgen (New York, NY)
- …closely with Organized Customer Team Regional Account Executives and Regional Medical Liaisons in shared accounts + Coordinates with Reimbursement Access Value ... CV products and the competition + Functional knowledge of Medicare and Government agencies, as well as abilities that...state or federal sector + Knowledge of payor systems, billing , coding and reimbursement processes + Knowledge of CMS… more
- Highmark Health (Albany, NY)
- …authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. ... specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as...across multiple states. They must also be familiar with Medicare drug benefit design offerings that may differ by… more
- Humana (Albany, NY)
- …Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Help at Home (Industry, NY)
- …agency and state regulations. + Assists with obtaining contract authorizations where pre- billing conflicts arise. + Demonstrates a commitment to maintain a high ... + Understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance. + Understanding of communicating effectively with… more
- Elderwood (Waverly, NY)
- …inventory. + Submits statistical reports to the Business Office staff for Medicare billing payments, and completes assessment forms upon request. + ... + Paid Time Off and holiday package + Comprehensive health benefits: Medical , Dental, Vision + Continuing education opportunities and professional development + A… more
- Elderwood (Hornell, NY)
- …inventory. + Submits statistical reports to the Business Office staff for Medicare billing payments, and completes assessment forms upon request. + ... + PTO & Holiday Package + Full Suite of Health Benefits - Medical , Dental, Vision + Continuing education programs and more! Speech-Language Pathologst full time… more
- Catholic Health Services (Roslyn, NY)
- …including accounts payable and receivables, budget analysis, staff payroll, personnel interactions, billing , email and phone communications. + Acts as a back up to ... to include but not limited to: ability to pay, Medicare /Medicaid status and all third party payors; + Obtains...offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and… more
- KPH Healthcare Services, Inc. (Camden, NY)
- …use of + Seeks education/training or assistance with areas of + Stays current on Medicare guidelines for billing and dispensing as well as LCDs + Responsible for ... Preferred:** + Minimum of one year of experience in a DME (Durable Medical Equipment) field or setting with equivalent **Physical Requirements:** + Primarily medium… more