- Mohawk Valley Health System (Utica, NY)
- …of the HB follow up groups. Core Job Responsibilities + Organize and maintain payer spreadsheets + Meet with and brief supervisors on claims issues contained in the ... spreadsheets prior to monthly payer meetings + Administration of website access for business office staff and other departments and vendors in need of access to… more
- Mohawk Valley Health System (Utica, NY)
- …maintain credentialing policies and procedures. + Collaborate with Quality Department and Payer Enrollment department to ensure accurate quality and payer ... enrollment data is retained. + Provide support to physician and APP leaders in their role associated with the medical staff services. + Serve as the liaison between departments and committees of the medical staff and the medical staff office, providing… more
- Glens Falls Hospital (Glens Falls, NY)
- …to pursue accurate and timely reimbursement including internal tools, as well as payer meetings, payer websites, and provider representatives * Promptly resolve ... denied claims with a goal of one touch resolution * Identify trends/errors and coordinate with colleagues to suggest areas of improvement * Utilize active listening skills when communicating with internal and external stakeholders. * Actively participate in… more
- Albany Medical Center (Albany, NY)
- …plus + Proficiency in office software including Excel and Word + Proficiency utilizing payer websites + Ability to work in a team environment + Ability to ... interprets information to efficiently reconcile accounts + Review and understand payer policy guidelines regarding billing + Follow internal policies and procedures… more
- WMCHealth (Warwick, NY)
- …office. Collect and coordinate clinical information responses to obtain payer authorizations. + Obtain Pre-Admission Authorizations and continued stay authorizations ... approved stays. + Monitors SNF census and admission opportunities to obtain appropriate payer mix and SNF census according to budgetary plans. + Completes hospital… more
- Walgreens (East Meadow, NY)
- …of customer service (including patients, providers, and pharmaceutical and payer partners), and developing and protecting department assets. **Job Responsibilities** ... pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- Kaleida Health (Buffalo, NY)
- …promotes a positive, team-oriented work environment. Develops relationships and influences payer policies and procedures as well as facilitating strong working ... in Healthcare environment required. 8 years of experience in Insurance Carriers, Payer policy trends and Revenue Cycle management concepts required. 5 years of… more
- Walgreens (Brooklyn, NY)
- …of customer service (including patients, providers, and pharmaceutical and payer partners), and developing and protecting department assets. **Job Responsibilities** ... pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- Mount Sinai Health System (New York, NY)
- …materials and policies/procedures to assist providers with the new regulatory or payer policies. 7. Identifies and assists with implementation of documentation and ... and policies and procedures to assist providers with understanding new regulatory or payer policies as they relate to coding changes. 11. Assists in the development… more
- Access: Supports For Living (Kingston, NY)
- …Collaborate with providers and other healthcare team members, to include the member's payer , in order to facilitate care across the healthcare continuum and optimize ... clinical and financial outcomes. + Maintain a working knowledge of payer requirements. Negotiate on behalf of the member for cost-effective, high quality services… more