- Amazon (New York, NY)
- …manipulating, analyzing, and exporting/importing data from internal data warehouse and payer provider portals, as well as providing variance analyses and report ... out to leadership - Partner with the business and finance leaders to develop long-term strategies and new initiatives to delight our customers - Partner with Business Intelligence, Science and FinTech to implement data driven reporting, and driver-based… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... professionalism, we're hired as strategic and creative partners by our biopharmaceutical clients to drive category/brand awareness and growth. Position Overview The VP, Associate Creative Director, Copy is a senior-level creative department position. The… more
- J&J Family of Companies (Yonkers, NY)
- …value as a solution to address identified customer and patient needs. Leverage payer acumen to educate patients on access and affordability options. + Analyze ... qualitative and quantitative market data to assess business opportunities and priorities. + Build an LHM-specific business plan and account plans to drive growth. + Be the quarterback of the LHM team by setting the local strategy, collaborating with… more
- UHS (Binghamton, NY)
- …formal reconsideration requests and appeal letters to payors when required, following payer -specific guidelines and timelines. + Analyze and document trends in claim ... denials, identifying patterns related to payor behavior, system issues, or user errors, and report findings to management. + Contribute to team development by assisting in the training and onboarding of new staff members, sharing knowledge and best practices.… more
- Northwell Health (Lake Success, NY)
- …+ Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies cause of rejections and chooses most ... appropriate methods to resolve them. + Creates detailed, well-versed typed letters to insurances and patients. + Creates effective appeal packages to submit to insurances. + Communicates in an effective professional manner when speaking with insurances and… more
- Albany Medical Center (Albany, NY)
- …Physician office experience preferred * Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care* ... Proven customer service skill with ability to exceed expectations* Ability to multi-task in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute task* Ability to learn in classroom setting; utilizing… more
- Catholic Health (Buffalo, NY)
- …ABILITY + Strong knowledge of Medical Billing, Terminology, Operations & Third party payer requirements + General knowledge of HIPAA Privacy and Security rules + ... Computer proficiency in Microsoft Office, most notably Excel and Word, related software & technology including: printers and other peripheral devices + Ability to learn and adapt to various software applications, as necessary + Strong verbal, written, and… more
- Pfizer (New York, NY)
- …complex projects/data sets. + Expertise of using common pharmaceutical and payer claims datasets (IQVIA LAAD) and copay/affordability data sources (CoverMyMeds, ... Relay Health, Copay/Voucher data etc). + Experiences of building financial model to estimate affordability program impact to gross to net and net sales. + Analytical model development and database manipulation experience. + Prior success delivering results and… more
- Stony Brook University (East Setauket, NY)
- …scanning processes, volume, and trends. + Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists ... management reporting and special projects as requested. **Qualifications:** **Required:** + Bachelor's degree and three years' healthcare revenue cycle experience, or in lieu of a Degree 5 years of Healthcare Revenue Cycle experience resolving hospital Managed… 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