- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... ways to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system...policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds… more
- Walgreens (Bronx, NY)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health… more
- Walgreens (Peekskill, NY)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and assists in community events as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. **Operations** + Under direct supervision… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …with Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or otherwise ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and...Mandates. + May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and… more
- Keith Titus Corp (Weedsport, NY)
- …(3 program options) + Elective Colonial Supplemental coverages available (accident, medical bridge, cancer, disability, Life/ADD, Teledoc) + Company Sponsored Group ... Compiles repair details in TMT for onsite units and road service trucks. + Review , modify and finalize repair orders accurately, direct questions to Foreman and … 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 ... Specialist Position Summary: + Compile, monitor and bill out claims . + Verify client's insurance benefits on an ongoing...tasks assigned (on an as needed basis) by the supervisor . Qualifications + Prior Medical Billing of… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …use of evidence based medicine and peer review . Participates in clinical review process such as tort claims , peer reviews, management reviews and ... Section of Anesthesia, at the Samuel S. Stratton VA Medical Center, Albany, New York and supports the mission...the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible… more
- University of Rochester (Rochester, NY)
- …Operating Room. Patient Liaison - Assembles, from multiple tabs within the electronic medical record, the necessary details, for review and inclusion when ... computer, calculator, telephone, facsimile. Will use software for electronic medical record system, appointment scheduling system, and Operating Room scheduling… more
- Walgreens (New Paltz, NY)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more