- Datavant (Albany, NY)
- …Ensure products are clinically relevant, user-centric, and integrated into existing payer and provider workflows through interoperability integrations. + Set and ... track KPIs for each product line, such as suspect accuracy, provider engagement, risk score impact, and concurrent coding capture and correction rates. + Establish and track KPIs that measure both risk adjustment performance and interoperability success (data… 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 Art Supervisor is responsible for providing direct support to the Creative Director,… 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 Art Director is responsible for developing designs and concepts across a wide range of media on… more
- Lundbeck (Buffalo, NY)
- …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. ... **Pharmaceutical Environment/Compliance** - Apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical… more
- Trinity Health (Clifton Park, NY)
- …regulatory and facility's corporate compliance standards + All clinical and payer required documentation is concise, pertinent, legible and in accordance with ... organizational requirements **What you will need:** + Graduate of an approved Physical Therapy program with a Bachelor of Science, Master's degree or Clinical Doctorate of physical therapy degree. + Current NYS Physical Therapy license and registration + 1… 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… more
- Northwell Health (Manhasset, NY)
- …clinical course. + Ensures compliance with current state, federal, and third party payer regulations. + Documents the case management process in the medical record; ... completes and documents a care coordination assessment on the patient. + Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. + Completes applicable areas of the patients discharge instruction… more
- Catholic Health (Buffalo, NY)
- …to date with current insurance billing requirements and changes by reading payer newsletters and other publications. + Follow up on any unpaid/outstanding/denied ... claims within the payers timely filing guidelines to ensure proper receipt of the claim by the insurance company or State/Federal agency, including: + Verify patient's insurance information using Hnet, ePaces, Connex, insurance company portals, phone calls… more
- BrightSpring Health Services (New Hyde Park, NY)
- …Associate's Degree or some college preferred + Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies + Knowledge ... of insurance verification and pre-certification procedures + Understands the scope of services that Amerita can provide + Strong verbal and written communication skills **To perform this role will require constantly sitting, standing and typing on a keyboard… more
- Mount Sinai Health System (New York, NY)
- …forms + Maintains a working knowledge of New York State third party payer eligibility requirements for private and hospital billing + Utilizes and understands basic ... medical terminology; able to complete visit encounter forms and enters ICD10-CM and CPT information into computerized systems as appropriate + Assists in training, orientation and education of entry level and or/float staff **About Us** **Strength through… more