- 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
- UHS (Johnson City, NY)
- …You'll review clinical documentation to confirm it meets agency and payer standards before submission, helping streamline approvals and reduce delays. At ... + Collaborates with clinical and administrative teams to ensure documentation meets payer and agency standards for approval + Assists with onboarding and training… more
- Cardinal Health (Albany, NY)
- …practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, ... credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for...using knowledge of market, local and national benchmarks, and payer market. Key member of negotiating team for company.… more
- Mount Sinai Health System (New York, NY)
- …financial, and IT departments preferred. + Up-to-date knowledge of payer regulations and healthcare compliance standards preferred. Non-Bargaining Unit, 506 ... and clinical stakeholders + Monitor compliance with CMS and third-party payer requirements **System Administration & Regulatory Support:** + Support implementation… more
- HCR Home Care (East Syracuse, NY)
- …and cost - effectively as possible , to achieve positive patient outcomes regardless of payer . + R esponsible for the overall plan of care and the outcome of that ... one year home care experience + Knowledge of State and Federal regulations, payer guidelines + Must possess the following skills: + Excellent communication and… more
- Cognizant (Albany, NY)
- …Spring Core REST Web Services Core Java and PL/SQL. Experience in the Provider and Payer domains is a plus. This is a work-from-home position with day shifts and no ... skills to work effectively with diverse teams. + Experience in the Provider and Payer domains is a plus. + Ability to mentor and guide junior developers to… more
- Independent Health (Buffalo, NY)
- …of experience in corporate sales/service including experience working with providers, payer networks, or healthcare required; pharmacy or pharmacy benefit industry ... + Build a strong professional relationship between PBD and the broker/consultant/ payer community to facilitate the successful acquisition of new business and… more
- Northwell Health (Forest Hills, NY)
- …(ALC) status In concert with attending physician.Responds to third party payer requests for concurrent clinical information providing all relevant documentation to ... 3. Ensures compliance with current state, federal and third party payer regulations.Works collaboratively with on-site reviewers to transition patients to… more
- Datavant (Albany, NY)
- …includes dedicated pods building EHR integrations, building connections products for provider, payer and life sciences products. This specific role will focus on ... building connectivity with affiliates as per the data needs of payer , life sciences, attorneys and insurance organizations. You will be working closely with various… more