- Stony Brook University (Stony Brook, NY)
- …for Code 44 on all other payers. + Active participation with the physician and payer to prevent denials. Reviews cases for potential change in level of care with the ... CM and physician. + Communicates with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation in the EMR regarding acuity, plan of care and communication with the… more
- Mount Sinai Health System (New York, NY)
- …as appropriate in health system documentation system. 2. Data analysis: such as payer data and claim 3. Support the pharmacist to implement the patient's care ... plan, such as navigating insurance benefits, assisting with provider communication 4. Provide medication, lifestyle, and disease state counseling 5. Coaches patients, families, and/or authorized care givers on how to use existing skills and develop new ones to… more
- Evolent (Albany, NY)
- …+ 4+ years of experience in healthcare analytics, preferably with a payer , provider, or healthcare consulting organization. + Strong proficiency with SQL, SAS, ... and Microsoft Excel + Strong communication skills with the ability to bridge technical and business perspectives. + Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data **Finishing Touches… 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
- Intermountain Health (Albany, NY)
- …related to net revenue and net accounts receivable. + Produces analyses of payer performance + Provides various analyses and reports specific to Net Revenue ... performance. + Prepares plan and forecast models for all assigned business units. + Preforms balance sheet reconciliations for all assigned business units and accounts. + Manages multiple projects and deadlines effectively and communicates risks and issues to… more
- Boehringer Ingelheim (Rochester, NY)
- …top plans for customers. Engages customers in comprehensive discussions on the payer environment, co-pays, and formulary access. Works with Managed Care Area ... Managers to generate and sustain support for products on MCO formularies. Develops and influences an extended team to pull-through MCO decisions. + Delivers on "continuation of care" model, including discharge protocol, treatment algorithms, disease… more
- Blue Matter (New York, NY)
- …in both the medical and pharmacy benefit across all major US payer segments (eg, Commercial, Medicare, Medicaid, and Federal Markets) + Demonstrated knowledge ... of reimbursement methodologies across core sites of care, including physician offices / clinics, hospital outpatient departments, hospital inpatient, and long-term care settings + Prior experience in both medical benefit and pharmacy benefit specialty… 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
- Northwell Health (Lake Success, NY)
- …addressing patient billing inquiries, collecting payments, assisting in helping resolve payer enrollment related denials and other problems, attending to inquiries ... regarding an account. Job Responsibility + Assists in processing and managing patient claims. + Assists in collecting payments from third party insurance carriers and patients. + Assists in resolving any issues relating to the physician account. + Assists in… more
- Trinity Health (Albany, 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 year… more