- 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
- 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 ... + Pay Range $80000 - $90000 / year + Excellent medical , dental, prescription and vision insurance + Disability coverage + Tuition Reimbursement Program + 401(k)… 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