- Robert Half Accountemps (Albany, NY)
- …Strong knowledge of provider credentialing processes, documentation requirements, and payer -specific systems (commercial and government). + Proficiency in using ... credentialing systems and databases, with excellent organizational and communication skills. Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer… more
- Cognizant (Albany, NY)
- …ensure accurate and timely adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client ... issues related to claims adjudication and adjustments. Service Now and Inquiry resolution, and any basic questions regarding health coverage as stated in the employer's plan document. You will be valued member of the Cognizant team and collaborate with… more
- Bassett Healthcare (Cooperstown, NY)
- …and educator with medical staff regarding patient status, bed placement, payer requirements, and utilization of resources. Manages Logistic Center staffing process ... for assigned shift as needed. Meets deadlines and exceed metrics identified for the Logistics Center through attention to detail and implementation of facility policies and Standard Operating Procedures. Follows, analyzes and reports patient placement issues,… more
- Catholic Health Services (Smithtown, NY)
- …ensure optimal patient outcomes and length of stay efficiency. Considers payer requirements and responds accordingly to avoid adverse financial consequence to ... patient and hospital. Works proactively with ED staff, ED charge nurse, and ED physicians to identify possible admissions. Determines DRG-based initial LOS values for ED admissions (all status/types). Partners with ED nurse, ED charge nurse, and ED physician… more
- Sumitomo Pharma (Albany, NY)
- …SHA, MMIT/DRG formulary / market access data). + Solid understanding how brand payer access impacts sales strategy and field pull through tactics. + Proven success ... in developing analyses with Business Intelligence tools and methods (eg, Tableau, Qlikview, SQL). + Excellent team player and collaborative skills. + Strong demonstrated project management skills and managing external vendors/ deliverables within tight… more
- Elderwood (Buffalo, NY)
- …+ Medicaid claim rebilling + Updated Skilled Nursing Facility Census and Resident Payer Status + Projects as needed + Customer Service orientated (external and ... internal) Base wages increase with experience! Qualifications + Associate's Degree or High School diploma (or GED) and 1-2 years medical billing/collections experience (Long Term Care Preferred) or Pharmacy Technician experience in retail, long term care or… more
- Charles Evans Center (Bethpage, NY)
- …Medicare, and commercial plans + Assist with review and negotiation of payer contracts + Maximize coding accuracy and billing under FQHC regulations (Articles ... 28, 31, 32) + Maintain and update charge master and sliding fee schedule + Generate billing reports and analytics for CFO review + Oversee adjustments, write-offs, and collection efforts as needed + Audit ECW mapping to ensure complete and accurate data… more
- Catholic Health (Williamsville, NY)
- …all claims must be in compliance with federal, state and contracted payer requirements and regulations and processed for payment within all timely filing ... requirements. Responsibilities for this position include, but are not limited to, the following : (1) Review of all claims for accuracy of demographic and charge information (2) Review of all work lists to identify errors or issues with billing and correct the… more
- Trinity Health (Schenectady, NY)
- …and facility's corporate compliance standards + Ensures that 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
- Regeneron Pharmaceuticals (Tarrytown, NY)
- …development of print and digital market access promotional materials to support payer , sales, reimbursement, and GPO field force efforts. Help facilitate regular ... Market Access Advisory Committee meetings and partner with field teams to understand where and how to optimize market access initiatives and tactics. Telecommuting permitted. 30% domestic travel required to attend conferences, company meetings, and meetings… more