- Saratoga Hospital (Saratoga Springs, NY)
- …executed. Works closely with employees to ensure that all relevant completed medical documentation is submitted for timely review . Maintains appropriate contact ... Manages STD/LTD programs and vendor relationships. Ensure that disability claims are coordinated with FMLA or general medical... claims are coordinated with FMLA or general medical cases. + Assists in the creation and facilitation… more
- Walgreens (Wading River, NY)
- …generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- City of New York (New York, NY)
- …Services (OCSS), the Investigation, Revenue and Enforcement Administration (IREA), the Medical Assistance (Medicaid) Program (MAP), and the Home Care Services ... orders on behalf of DSS and asserts liens and claims against Public Assistance and Medicaid recipients' personal injury...Litigation Unit (SLRLU) with their Estates Unit and Medicaid Review Team . Under the direction of a Supervising… more
- Outreach Development Corporation (Richmond Hill, NY)
- …companies regarding any issues with client account that may delay payment of services. + Review and work claims in the clearing house. This may include but not ... health services and training. For more information, please visit www.opiny.org. Position: Medical Billing & Collections Specialist Position: The medical billing… more
- Mount Sinai Health System (New York, NY)
- …+ In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and payment reconciliation. + Familiarity with **Stratajazz** , ... data to enhance decision-making and optimize reimbursement. . **Contract Review & Interpretation:** + Analyze and interpret contract terms, conditions,… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …Interdisciplinary Treatment Team to ensure that all team members are aware of all medical conditions and care. 8. Review reports daily to ensure timely, ... receiving services within the Manhattan residential programs receive appropriate and timely medical care in accordance with the regulations of the New York State… more
- CVS Health (Albany, NY)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...Responsibilities** + Develop reports in SQL and SAS. + Review MCO/Client Requests with internal and external partners to… more
- University of Rochester (Rochester, NY)
- …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and ... clinical employees at various levels including pharmacists, pharmacy technicians, medical /clinical staff, and central prior authorization staff. External interactions… more
- WMCHealth (Kingston, NY)
- …Applicant link Job Details: Coordinates the orderly processing of all third party claims in accordance with the policies and procedures of the nursing home and ... and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay...on key issues. + Conducts monthly AR meetings to review open balances and aged self pay and Medicaid… more
- Elderwood (Fairport, NY)
- …leadership and collaborative team culture + Excellent training and professional development + Medical , Dental, Vision, 401K with match, and PTO + A chance to grow ... certifications. If not certified arrange for training. + Obtain medical documentation required for Measles, Rubella and TST for...employee information and ongoing maintenance in ADP HRIS. + Review all employee timecards in time & attendance system… more