- Excellus BlueCross BlueShield (Rochester, NY)
- …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services ... and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The… more
- Albany Medical Center (Albany, NY)
- …with ability to have a financial discussion with patient regarding payment responsibility. Must be comfortable in the collection of financial responsibility ... + Critical thinking ability regarding issues with financially securing payment + Ability to discuss sensitive concepts with patients...financial obligations Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- Albany Medical Center (Albany, NY)
- …with ability to have a financial discussion with patient regarding payment responsibility. Must be comfortable in the collection of financial responsibility ... obligations* Critical thinking ability regarding issues with financially securing payment * Ability to discuss sensitive concepts with patients regarding financial… more
- Albany Medical Center (Albany, NY)
- …to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials. Able to communicate effectively and successfully with team ... factual, timely and compelling appeal letters to payors regarding payment variances and denials. + Able to communicate effectively...timely manner. Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- Humana (Syracuse, NY)
- …of our caring community and help us put health first** The Medical Records Retrieval Representative (Risk Adjustment Representative 2) travels to provider offices ... within Upstate/Central New York and scans medical records into a secure system. The records are...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more
- Arnot Health (Elmira, NY)
- Job Description Are you an experienced medical office professional with strong leadership skills and a passion for patient-centered care? Join our compassionate and ... fast-paced Medical Oncology team as a Medical Office...policies + Monitors cash handling, daily deposits, and overdue payment follow-ups + Oversees communication with internal departments and… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and ... clinical information to appropriate stakeholders (internal and external) to ensure payment for services. **Travel** : Limited travel may be required. Travel to… more
- Citizens (New York, NY)
- …provide and direct complex analysis on embedded banking relationships and payment structures to establish mitigating controls, risk thresholds, and continuously ... and risk management methodologies, including COSO and OCC Heightened Standards. + Payment Products: Foundational knowledge of core payment capabilities in the… more
- OrthoNY (Saratoga Springs, NY)
- OrthoNY is looking for a compassionate and skilled Medical Assistant to join our dedicated team. As a Medical Assistant, you will play a key role in supporting ... our physicians and ensuring the highest quality of care for our patients. Our Medical Assistant roles offer a unique opportunity to work in a dynamic and… more
- CDPHP (Albany, NY)
- …who share these values and invites you to be a part of that experience. The Medical Director will assist the VP Member Health and Chief Medical Officer with the ... accordance with regulatory, accreditation, corporate policies and strategic plan. The Medical Director will participate in medical advisory committees, provide… more