- CVS Health (Albany, NY)
- …Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... the ability to obtain a NJ License. In the Medical Director role you will provide oversight for ...Medical Director role you will provide oversight for medical policy implementation. You will participate in the development,… more
- CVS Health (Albany, NY)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical … more
- Albany Medical Center (Albany, NY)
- …as needed + Collaborates with our community partners to enhance access to medical care + Completes accurate patient coding for effective billing, maintain ... team. The APP augments a physician's ability to provide medical services to patients; collect and document data, conduct...team. The APP augments a physician's ability to provide medical services to patients; collect and document data, conduct… more
- Trinity Health (Syracuse, NY)
- …Guidelines for Coding and Reporting + The American Hospital Association (AHA) Coding Clinic + The American Medical Association (AMA) for CPT codes and ... and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers. Utilizes … more
- Saratoga Hospital (Saratoga Springs, NY)
- …proficiency with insurance verification and verification tools and online resources. Check Medical Necessity and Diagnosis Coding and abstracting when needed. ... when needed and completes cash reconciliation and deposits. + Maintain confidential medical records. Obtain records necessary for office visit. Process requests for … more
- Cardinal Health (Albany, NY)
- …+ Clear knowledge of Medicare (A, B, C, D) + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred + 1-2 years of ... limited to Word, Outlook, and preferred Excel capabilities + Previous medical experience is preferred **_Responsibilities_** + Deliver virtual or telephonic… more
- Cardinal Health (Albany, NY)
- …and pharmacy insurance benefit practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience preferred + 1-2 years ... to Word, Outlook and preferred Excel capabilities + Previous medical experience is preferred + Adaptable and Flexible, preferred...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Independent Health (Buffalo, NY)
- …making to include effective problem resolution. + Knowledge of CPT codes, ICD-10 coding , and medical terminology preferred. + Experience in navigating multiple ... of benefits, which contributes to the overall organizational savings plan and medical loss ratio. **Qualifications** + High school diploma or GED required.… more
- Rochester Regional Health (Rochester, NY)
- …+ High School Diploma (Or equivalent) PREFERRED QUALIFICATIONS: + Knowledge of medical terminology, EHR systems, coding , billing, and HIPAA. + Strong ... members in person or by phone to collect demographic, financial, and medical information. + Perform name inquiries and identify patients accurately per policy.… more
- Rochester Regional Health (Rochester, NY)
- …+ High School Diploma (Or equivalent) PREFERRED QUALIFICATIONS: + Knowledge of medical terminology, EHR systems, coding , billing, and HIPAA. + Strong ... RESPONSIBILITIES: + Collect and verify patient demographic, financial, and medical information, ensuring accuracy and efficiency. + Verify insurance eligibility,… more