- Sumitomo Pharma (Albany, NY)
- …of combined experience in account management, sales, market access and/or payer marketing preferred + Key account management responsibility including contract ... negotiation and management required + Previous leadership experience required + Experience in managing ongoing specialty pharmacy service agreements preferred **Travel** + Desired location: New York, New Jersey, Delaware, Washington DC, Pennsylvania, Virginia,… more
- University of Rochester (Rochester, NY)
- …Assists in hiring, training and cross-training staff. + Assists leadership with payer audits, including quarterly Medicare and Medicaid Credit Balance reports and ... additional credit balance reports issued by external partners. + Reconciles client billing on a monthly basis. Assists with credit balance work queues as needed. + Assists in performing payment application activities, including but not limited to, posting… more
- Charles B. Wang Community Health Center (Queens, NY)
- …Establish linkage to external social services programs, specialist services and payer 's care management services + Participate in clinical service team ... meeting/activities + Update knowledge base relevant to service population + Perform other duties as assigned Minimum Qualifications : + Bachelor's degree (health care related preferred) + Bilingual in English and Chinese (Mandarin and Cantonese) required +… more
- City of New York (New York, NY)
- …care - Value-based care and Alternative Payment Models - Price transparency, All- Payer Claims Databases, and other employer-led strategies promote high-value care - ... Civil rights and non-discrimination in healthcare - Medicaid policy and strategy - Outstanding research, analytical, and writing skills, with strong attention to detail - Ability to synthesize and present information on complex programs, policies, and research… more
- Mount Sinai Health System (New York, NY)
- …25. Maintains a working knowledge of New York State third party payer eligibility requirements for professional and hospital billing. 26. Utilizes and understands ... basic medical terminology; able to complete visit encounter forms and enters ICD10-CM and CPT information into computerized systems as appropriate. 27. Assists in training, orientation and education of entry level and/or float staff. **About Us** **Strength… more
- Stony Brook University (East Setauket, NY)
- …and New York Medicaid reimbursement methodologies. + Knowledge of third party payer reimbursement methodologies and contracts. + Knowledge of CPT, HCPCs and ICD-10 ... coding principles. + Knowledge of Invision Patient Accounting, RPM, Contract Management and/or Claims Scrubber Software. + Knowledge of SQL or Database Queries. + Experience reporting from healthcare decision support, patient accounting, contract management… more
- Rochester Regional Health (Rochester, NY)
- …budget. Ensures compliance to fiscal standards with focus on volume, payer mix, fees, customer service initiatives, productivity, coding, non-provider labor, ... building occupancy expenses, and clinical supply costs. + In conjunction with Human Resources, participates in the recruitment, hiring, coaching and mentoring, and termination of non-physician staff. Provides management, guidance and training to staff in daily… more
- Evolent (Albany, NY)
- …healthcare end to end system landscape + Good knowledge US Healthcare - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims ... workflow, members, providers + A minimum of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable experience with Testing, Writing Test cases, Test Plans, and… more
- Rochester Regional Health (Rochester, NY)
- …of comprehensive assessment/documentation, which may include assessments required by payer sources (eg, Outcome and Assessment Information Set (OASIS), Hospice ... Item Set (HIS)).* Plans, organizes and prioritizes care needs for an assigned caseload of patients to ensure their care needs are met and services are delivered according to plan of care* Communicates all changes in patient status and/or service needs to the… more
- Intermountain Health (Albany, NY)
- …aligned with procedure performed, and charges/coding are consistent with Federal, State, and payer guidelines. 9. Acts as a subject matter resource to team and ... escalates to leadership as needed. Supports SCL and future acute care sites with Epic, downstream system, upgrades and new functionality. 10. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards. 11. Performs other… more