- Trinity Health (Albany, NY)
- …day a week work from home . No nights no weekends. Medical billing/insurance background a must. Coding not required but a plus. **Responsibilities:** + ... New Scotland Avenue, Albany, NY. Searching for a motivated medical biller for our oncology departments. Coding ...5 days a week and 1 allowed work for home day a week. **Position Highlights:** + Quality of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …evaluate outpatient take- home medications to assure the appropriateness and medical necessity of medication use based on established criteria. Obtain prior ... authorization from intermediaries and payers, including managed care companies, insurance...insurance paperwork issues. Improve patient service experience and Upstate Medical University Hospital retail pharmacy revenue through provision of… more
- Fresenius Medical Center (Jamaica, NY)
- …and acting on adverse events and action thresholds. + Oversees facility's Home Therapies Program if applicable. + Accountable for compliance with all applicable ... communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with… more
- Highmark Health (Buffalo, NY)
- …and efficiency metrics, accountable care organization development and support, patient centered medical home , and electronic health records. + Experience may be ... includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, medical ... from either health plan or provider employers. **Preferred** +… more
- University of Rochester (Rochester, NY)
- …agreements. Ensures that all billing and payments are processed per proper coding regulations and contracts. Prepares and maintains billing for these claims daily. ... including but not limited to duplicate or incorrect charges, incorrect coding , erroneous contract information and initiate corrected claim submission accordingly +… more
- St. John's Embrace Living (Rochester, NY)
- …notices is maintained. Update process and educate staff when process is changed + Assist medical records coding of ICD-10 codes + Submit PBJ data through QIES + ... and fun for both employees and the elders and residents that call St. John's home . If this description speaks to you, continue reading about the opportunity of MDS… more
- Sanofi Group (Albany, NY)
- …with different sites of care, including infusion centers + Manage the transition from infusion site to in- home infusion therapy as appropriate + Maintain ... is highly challenging for Health Care Providers (HCPs) and Patients. Payer medical and pharmacy Utilization Management (UM) criteria create process delays for… more
- University of Rochester (Rochester, NY)
- …at multiple practice sites; coordinates referrals for consults. Obtains patient medical records to facilitate patient care. Documents telephone calls into ERecord. ... Triages telephone calls from patients and referring physicians to surgeons, residents and...detailed filling out of specific request forms with patient medical information. Also includes getting prior authorizations for surgeries… more
- University of Rochester (Rochester, NY)
- …of a single large practice, smaller multi-site locations or a multi-specialty medical building. + Implements procedures for enhancing levels of service and quality ... and enforces medical office policies and procedures. + Develops guidelines for...reports for all assigned site locations. + Reviews monthly coding trends report to develop and implement practice workflows… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and ... standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management… more