- 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
- 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 ... will play an active role in compliance to meet insurance guidelines while promoting a healthy sleep lifestyle. +...of one year of experience in a DME (Durable Medical Equipment) field or setting with equivalent **Physical Requirements:**… more
- WMCHealth (Suffern, NY)
- …reporting systems, ensuring compliance with procedures and policies relating to patient billing and reporting to regulatory agencies such as Center for Medicare ... Hospital in Suffern, NY, is a 286-bed hospital providing emergency, medical , surgical, obstetrical/gynecological and acute-care services to residents of Rockland and… more