- University of Rochester (Rochester, NY)
- …the department and Strong Memorial Hospital (SMH), Highland Hospital and Medical Faculty Group (MFG) in a professional manner, protecting confidentiality of ... patient accounts for Strong Memorial Hospital, Highland Hospital and Medical Faculty Group for outstanding credit transfers + Creating...to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +… more
- Centene Corporation (New York, NY)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... RN review for all outpatient and ancillary prior authorization requests for medical appropriateness and medical necessity using appropriate criteria, referring… more
- FlexStaff (Poughkeepsie, NY)
- …on at least a semiannual basis or as indicated. 3. Coordinate with the Medical Case Manager Counselors (MCMC) to ensure medical , dental, and specialty ... and promptly update as indicated by acute illnesses and/or complex ongoing medical problems. 7. Evaluate the effectiveness of preventive/ongoing health care and make… more
- Sumitomo Pharma (Albany, NY)
- …This individual will have a proven record of success in urology and/or medical oncology and will be highly collaborative, tactical, energetic and thrive in a ... excellent working relationships with all customer key stakeholders including medical oncology, urology providers, radiation oncologists, medical groups,… more
- CP Unlimited (Carmel, NY)
- …on at least a semiannual basis or as indicated. + Coordinate with the Medical Case Manager Counselors (MCMC) to ensure medical , dental, and specialty ... and promptly update as indicated by acute illnesses and/or complex ongoing medical problems. + Evaluate the effectiveness of preventive/ongoing health care and make… more
- Walgreens (Peekskill, NY)
- …privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health ... to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up with… more
- Sanofi Group (Albany, NY)
- …and coding, financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion center ... FRMs will be subject matter experts on product procurement as it relates to medical payer policy requirements, buy & bill processes, billing and coding education, … more
- Mount Sinai Health System (New York, NY)
- …equivalent education/experience Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial analysis experience in ... Sinai Health System is one of the largest academic medical systems in the New York metro area, with...safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by… more
- Hudson Valley Community College (Troy, NY)
- …be responsible for reporting and maintaining accurate and comprehensive medical records on each student-athlete, including secondary insurance correspondence. 9. ... 10. Supervise and administer the secondary insurance program, including claims , monitoring, and correspondence. 11. Supervise and organize department CPR/AED… more
- The Estee Lauder Companies (New York, NY)
- …introductions with commercial innovation initiatives. + Identify breakthrough claims , ingredients, and consumer-centric campaigns that elevate Clinique's skincare ... status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status),… more