- Otsuka America Pharmaceutical Inc. (White Plains, NY)
- …Rare Disease Selling Model creates a unified focus among account management, medical , patient access, market access and total office education to engage physicians ... Lead, Rare Disease, coordinating with cross functional colleagues in Medical (MSLs), Market Access (RAMs), and Patient Support (PELs),...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Albany, NY)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- The Institute for Family Health (New Paltz, NY)
- …and the Organization. The representative shall have a basic understanding of medical billing and collections and will provide support to senior representatives to ... + Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed… more
- Catholic Health (Williamsville, NY)
- …Shift: Shift 1 Status: Full Time FTE: 1.066667 Bargaining Unit: Trinity Medical Exempt from Overtime: Exempt: No Work Schedule: Days Hours: 7:00am-4:00pm Summary: ... The Accounts Receivable Specialist-Billing supports the revenue cycle for Trinity Medical practices including Vascular, Niagara Falls Primary Care Centers and… more
- Mount Sinai Health System (New York, NY)
- …and accurate integration of data from various external sources, including wholesalers, claims systems, and financial platforms. + Develop complex SQL logic to join, ... and reconcile data from Epic, QS1, Oracle Cloud, 340B claims data, and wholesaler purchase feeds. + Support 340B...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds...+ Education/Training: At least one year experience in a Medical Office environment preferred . + Basic knowledge of… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …applying FDA design control requirements (21 CFR ) as applied to medical device software and medical device regulation (IEC-62304) **Competencies** ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental and ... in Joint Operating Calls (JOC) with insurance payers. + Monitors medical record request, correspondence distribution and scanning processes, volume, and trends.… more
- Syracuse Community Health Center (Syracuse, NY)
- …management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health record system. This role requires ... experience with Epic's billing modules and reporting tools, advanced training in Medical Billing or Coding, including CPC certification required or an equivalent… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds...+ Education/Training: At least one year experience in a Medical Office environment preferred + Basic knowledge of … more