- KPH Healthcare Services, Inc. (Camillus, NY)
- …growing revenue and building customer relationships + Knowledge of payer sources ( Medicare , Medicaid, private insurance) and DME billing practices **Special ... and long-term care facilities. + Collaborate with internal departments including clinical, billing , and customer service to ensure seamless delivery and support of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …* Extensive knowledge of coding conventions and payment rules as they apply to medical record documentation, billing of medical services, and health care ... is responsible for various aspects of decision-making and implementation of medical coding reviews and coding policies to ensure accurate diagnosis coding.… more
- Mohawk Valley Health System (Utica, NY)
- …of care advisement. + Support education to minimize clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals ... Managers and Attending Physicians to align on the level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA)… more
- Bassett Healthcare (Oneonta, NY)
- …make sure the patients needs are met) or prescription requests using the electronic medical record messaging system. + Offers patients the opportunity to sign up for ... as monitored by system audit + Accurate confirmation of attending PCP and Billing PCP, when appropriate. + Assures correct data capture and data entry (such… more
- Stony Brook University (Stony Brook, NY)
- …for these particular service lines, including a working knowledge of medical necessity requirements for the pharmaceuticals and recurring services that oncology ... patients require. + Performs insurance verification, and validation of medical necessity for certain services. + Contacts insurance companies through online portal,… more
- Rochester Regional Health (Rochester, NY)
- …reporting tools highly desired. + May need previously experience in CMS, Medicaid/ Medicare billing , and other regulatory processes. EDUCATION: LICENSES / ... - 4:30PMSUMMARY Participates and supports oversight of office processes of the Medical Management Department to maintain daily operations. Oversees the daily review… more
- Saratoga Hospital (Saratoga Springs, NY)
- …with EHR systems (ideally EPIC and OnBase) and a basic understanding of Patient-Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services (CMS) ... Wilton, NY 12831 Employment Type: Full Time Shift/Schedule: Day Shift Department: Medical Records Salary Range: [$19.00 - $26.65] hourly, based on experience and… more
- Trinity Health (Latham, NY)
- …industry. + Knowledge of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid, Social Security Disability, Champus, and ... with questions regarding financial liability to appropriate resource(s). + Accepts medical authorization or referral forms, if appropriate. + Processes key documents… more
- Catholic Health Services (Melville, NY)
- …and insurance information is on file for clinical submission and billing . DUTIES/RESPONSIBILITIES: + Determine whether authorization is required and utilize ... ensure submissions are complete. + Setup and support Peer-to-Peer reviews between medical directors and physicians. + Coordinate with clinical staff to provide proof… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …Specialist! This position can further develop your skills in compliance, medical billing , customer service, and Health Information Management (HIM)! ... service to be rendered as applicable (as well as medical records) * Interview patients to apprise them of...of CPT and ICD coding desired * Knowledge of Medicare and third-party payer regulations desired * Excellent computer,… more