- 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
- Elderwood (Waverly, NY)
- …inventory. + Submits statistical reports to the Business Office staff for Medicare billing payments, and completes assessment forms upon request. + ... Employer Matching + PTO & Holiday Package + Full Suite of Health Benefits - Medical , Dental, Vision + Continuing education programs and more! We are seeking a high… more
- Loretto Management Corporation (Syracuse, NY)
- …and procedures, and third party agency regulations. + Applies knowledge of various Medicare , Medicaid, and other third party billing rules. + Keeps current ... Benefits/Compensation + Pay Range $80000 - $90000 / year + Excellent medical , dental, prescription and vision insurance + Disability coverage + Tuition Reimbursement… 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
- Catholic Health Services (Smithtown, NY)
- …care center; 296-bed not-for-profit community hospital and a 60,000 square foot medical office building. Our nurses, physicians and support staff are devoted to ... level is highly desirable. Skills , Knowledge or Abilities : Knowledge of Medicare , Medicaid and insurance required. Must have troubleshooting skills and the ability… more
- KPH Healthcare Services, Inc. (Watertown, NY)
- …Seeks education/training or assistance with areas of + Stays current on LCDs, Medicare billing and dispensing guidelines + Responsible for completing all ... Preferred:** + Minimum of one year of experience in a DME (Durable Medical Equipment) field or setting with equivalent **Physical Requirements:** + Primarily medium… more