- 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
- Sumitomo Pharma (Albany, NY)
- …design direction for patient support programs + Experience in reimbursement and payer pull through + Experience implementing distribution channels and managing Sales ... Operations and distributor operations for cell & gene therapy products. + Experience managing multiple patient service/reimbursement/co-pay vendors + Recent rare disease product launch experience desired + Strong track record of cross functional leadership +… more
- Mohawk Valley Health System (Utica, NY)
- …and payment posting. The Nursing Home Billing Specialist must understand all payer and regulatory requirements to resolve accounts. Works under the general ... supervision of Manager, Revenue Cycle. Core Job Responsibilities + Maintain the census within the revenue cycle system to ensure billing accuracy. + Analyze system reports to trend and resolve outstanding Accounts Receivables. + Assist management with detailed… more
- Evolent (Albany, NY)
- …5 years of professional experience in claims-based healthcare analytics with a payer , provider, vendor, managed care, or related healthcare consulting entity + ... Extensive knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service + Previous Experience with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes,… more
- Mohawk Valley Health System (Utica, NY)
- …diagnosis and procedure codes, for accurate and timely billing of most appropriate payer + Audit charges and establish proper coding in collaboration with providers ... + Initiate and follow up on queries with providers + Assist departments with diagnostic and procedural coding + Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding related policies and procedures + Perform other… more
- Highmark Health (Albany, NY)
- …combination of experience and education **Preferred** + 6 years of experience in payer , hospital system, or care delivery industry + Experience influencing change in ... complex organizational systems **SKILLS** + Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises + Strong quantitative and analytical skills + Demonstrated influencing, and teamwork skills +… more
- Mount Sinai Health System (New York, NY)
- …Team on a range of NIH funded studies focused on provider and payer drivers and mediators of health disparities for children with chronic diseases. ... **Qualifications** The position offers a one-year postdoctoral fellowship with an ideal start-date of early 2025 and with the possibility for a second year with compensation commensurate with experience. The position includes an excellent benefits package and… more
- Stony Brook University (East Setauket, NY)
- …New York Medicaid reimbursement methodologies. + Knowledge of third party payer reimbursement and managed care contracts. + Experience investigating, reviewing and ... following-up on rejected/denied inpatient and outpatient hospital claims. + Knowledge of CPT, HCPCs and ICD-10 coding principles. + Experience with Cerner Invision and/or Cerner Millennium Patient Accounting. + Experience in Insurance Verification. +… more
- Kyndryl (New York, NY)
- …and Experience + 10 or more years of experience in the healthcare industry ( payer or provider) and professional services, with a strong track record as an customer ... partner, account manager or client partner + Proven success managing large accounts with annual revenues 20M+, including consulting and transformation experience + Strong understanding of healthcare industry trends, challenges, and disruptors, with a passion… more
- SUNY Upstate Medical University (Syracuse, NY)
- …maintain authorizations and is proactive to renewals. + Stays current with the payer policies through electronic, mail or fax bulletins and reviews major changes ... with supervisor. + Quickly identifies need for authorization initiation or modification due to insurance policy changes. + Escalates issues to supervisor for resolution, as deemed necessary. + Reviews and complies with all applicable Department of Medicine… more