- Molina Healthcare (NY)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of… more
- Bassett Healthcare (Cooperstown, NY)
- …via mail, phone, or MyBassett to meet patient satisfactions. + Takes a lead in service recovery , and acts as a service liaison in the moment. + Acts as a trainer for ... and is entered or scanned into the system accurately as monitored by system audit + Accurate confirmation of attending PCP and Billing PCP, when appropriate. +… more
- Mohawk Valley Health System (Utica, NY)
- …Provide peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit Contractors (RAC's). + Assist with mitigating barriers to ... clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… more