- Catholic Health Services (Smithtown, NY)
- …years' experience required. DUTIES/RESPONSIBILITIES: Performs monthly review of designated payer accounts Processing of mail/EOB's for the facility Verified ... and inputs information in facility database Documents progress on designated payer in the facility account receivables notes Addresses issues/concerns that arise… more
- Mount Sinai Health System (New York, NY)
- …with the prior authorization process preferred. Working knowledge of third party payer plans and how they are processed, of medication reimbursement, including the ... benefits investigation 1 year of retail pharmacy experience 1 year of PBM payer operations 1 year of hospital/institutional pharmacy Non-Bargaining Unit, 600 - HSO… more
- Albany Medical Center (Albany, NY)
- …registration + Responsible to interpret information received from Insurance Payer regarding patient's eligibility and financial responsibility + Responsible to ... to maintain the Electronic Health Record + Comprehend Federal, State, Third Party Payer regulations as it pertains to a hospital registration. + Ability to work… more
- Catholic Health Services (Melville, NY)
- …maintains, and manages the infusion AR across the Catholic Health System's commercial payer landscape. This position will also support the Director and/or Manager in ... of Healthcare AR management and ability to read and understand payer contractual language. Knowledge of healthcare accounts receivable and revenue cycle… more
- Finger Lakes Health (Geneva, NY)
- …of service. Responsibilities will also include, although not limited to: 1. Verifying payer coverage of the services to be provided to the patient, pre-certify the ... service with the payer , and obtain any required pre-authorization(s), documenting all information...part of the process of identifying any third party payer billable for the service. 3. Serving as a… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …has strong knowledge of orthopedic coding, ASC-specific billing practices, and payer regulations. Duties and Responsibilities + Demonstrate our core values of ... cases. + Ensure coding and billing practices comply with CMS guidelines, payer policies, and ASC-specific coding regulations. + Manage billing functions for surgical… more
- Cognizant (Albany, NY)
- …TypeScript and Adobe AEM to drive innovative solutions in the Provider and Payer domains. This work-from-home position offers a day shift schedule allowing you to ... scalable solutions that meet the needs of Provider and Payer domains. + Ensure code quality and maintainability by...+ Have a deep understanding of the Provider and Payer domains with experience in developing solutions tailored to… more
- Mohawk Valley Health System (Utica, NY)
- …Managed Care Programs, along with values- based care, pay-for-performance programs (all payer types) and reimbursement models in decision making and reviews. + ... and DRG assignment. Facilitate, mentor, and educate physicians regarding payer requirements, ICD coding guidelines (eg, co-morbid conditions, severity, acuity,… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …collection of patient financial obligations / secure payment arrangements * Contact provider/ payer to obtain prior authorization * Gather additional clinical and / ... * Develop thorough knowledge of all medications / procedures performed and payer authorization requirements for each * Understand insurance requirements for prior… more
- Glens Falls Hospital (Glens Falls, NY)
- …collection of patient financial obligations / secure payment arrangements . Contact provider/ payer to obtain prior authorization . Gather additional clinical and / ... . Develop thorough knowledge of all medications / procedures performed and payer authorization requirements for each . Understand insurance requirements for prior… more