- Cardinal Health (Albany, NY)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- University of Rochester (Brighton, NY)
- …completion of all appropriate forms by patients, such as, Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting patient ... identification to verify identity, provision of Financial Assistance Program, etc. Appointment Scheduling: + Schedules new and return visits to ambulatory care using the electronic medical record and patient access and revenue cycle system, monitors schedules… more
- Ellis Medicine (Schenectady, NY)
- …regulations to ensure most appropriate level of care to conserve patient, payer and hospital resources. + Actively participates in weekly multi-disciplinary rounds ... regarding complex case management of patients. Collaboratively formulates post-hospital plan with patient, family, healthcare providers and/or community-based organizations, agencies (Drug/Substance Abuse, Life-Cycle Violence, Adult and Child Protective… more
- Cardinal Health (Albany, NY)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification, and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- Catholic Health Services (Melville, NY)
- …teams in all CH Hospitals Attends hospital Readmission meetings Attends VBC payer clinical meetings as necessary Assists when needed with the coordination of ... care during all transitions within the healthcare continuum. Reveals ability to work autonomously and be directly accountable for results. Incorporates excellent written, verbal, and listening communication skills, positive relationship building skills, and… more
- UPMC (Jamestown, NY)
- …KNOWLEDGE AND SKILLS: Must possess knowledge in navigating communications with payer sources and programs. Possess knowledge and understanding of regulatory ... guidelines. Must be skilled in planning/organization, follow up/control, delegation. Problem solving, self-development, organizational behaviors/competencies. Must be able to read, understand, analyze, and interpret medical record documents. Must possess the… more
- Rochester Regional Health (Rochester, NY)
- …coordination of testing to be performed with physician, patient, facility and payer . This includes reviewing medical documents for clarity, ensuring all necessary ... clinical steps have been taken; works with necessary parties to obtain third-party approval + Obtains all procedure and diagnosis codes to properly authorize/pre-certify ordered testing. + Refers self-pay and out-of-network patients to the appropriate resource… more
- Merck (Albany, NY)
- …stakeholders and their relative level of influence, referral dynamics, payer controls, patient demographics, specialty pharmacy activity, etc. + Understanding ... of access & insurance coverage processes in PAH, specifically those of payers most active in designated territory **Business Acumen:** + Ability to understand and define customer business models and infer strategic objectives + Ability to create account… more
- J&J Family of Companies (Rochester, NY)
- …overnight travel **Preferred Qualifications:** . Working knowledge of reimbursement, payer , provider and infusion operations . Working knowledge of immunology, ... dermatology, rheumatology, and/or gastroenterology. . Working Knowledge of large account management. . Prior experience managing through complex reimbursement issues . Candidates with prior Management Development courses, experience in project-oriented selling… more
- Teva Pharmaceuticals (New York, NY)
- …and coach others on regional business focus areas, including settings of care, payer and pull through opportunities, and flawless execution of the marketing strategy ... * Develop effective business plans to meet and exceed regional sales goals * Coach/train others on different settings of care to identify key business opportunities * Demonstrate a collaborative sales approach and coordinate efforts between sales leadership,… more