- Kaleida Health (Buffalo, NY)
- …team, this position assumes the responsibilities as delegated by the Director of Clinical Reimbursement and Quality and/or the Administrator.This ... position also pro-actively provides reimbursement planning and is responsible for key decision-making related...planning and is responsible for key decision-making related to Medicare , Medicaid, and other Third Party Payors to ensure… more
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional ... Monitor State and Federal policies, regulations and legislation affecting contract reimbursement . 5. Attends monthly payer, client and accounts receivable meetings.… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …and commercial insights and monthly business planning discussions with Regional Sales Director *Better use of existing tools like Excel, Word *Use of Technology ... the business territory including major accounts and large players (ie, Commercial, Medicare , and Medicaid) *Understanding of Hospital formulary with guidance of RSD… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the ... third party payer plans and how they are processed, of medication reimbursement , including the prior authorization process, proficiency in the procurement of… more
- Dialysis Clinic, Inc. (Staten Island, NY)
- …and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures. **Schedule** : Full-time, five 8-hour shifts ... for eligible employees, up to 8 percent + Education reimbursement + Employee assistance program + Wellness program +...Provides reports to the nurse manager or area operations director . + May perform duties of receptionist including sorting… more
- Northern Rivers Family Services (Albany, NY)
- …for which provide billable services or are required to register with Medicaid/ Medicare based on their credential, department and position. + Work with organizational ... by government payers with appropriate program Chief, CFO, and Director of Revenue Cycle Management. + Credentialing liaison to...Health care package: medical, dental, and vision + Tuition reimbursement + Paid time off + Holiday Pay +… more
- Community Wellness Partners (Oswego, NY)
- …supports care planning, and contributes to quality resident care and reimbursement accuracy. Key Responsibilities: + Assist in gathering and organizing clinical ... and submission of MDS reports to CMS (Centers for Medicare & Medicaid Services) and other regulatory bodies. +...support duties as directed by the MDS Coordinator or Director of Nursing. Qualifications: + LPN or GPN certification… more
- Arnot Health (Bath, NY)
- Job Description MAIN FUNCTION: Coordinates and manages with the Director of Nursing (DON) all nursing care activities based on the philosophy of Arnot Health using ... Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. +...Case Mix to ensure appropriate classification of residents for reimbursement . + Handles financial, personnel and medical records or… more
- Cardinal Health (Albany, NY)
- …+ **Payor Marketing Strategy & Execution** + In conjunction with the Director , develop and execute commercialization playbooks for new and existing plan access, ... to date on industry trends, policy updates, and deal structures across commercial, Medicare , and Medicaid markets. + Summarize relevant articles monthly for the MCO… more
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