- Northwell Health (Sleepy Hollow, NY)
- …clinical course. + Ensures compliance with current state, federal, and third party payer regulations. + Documents the case management process in the medical record; ... completes and documents a care coordination assessment on the patient. + Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. + Completes applicable areas of the patients discharge instruction… more
- Northwell Health (New York, NY)
- …applications, required. *Strong verbal and written communication skills, required. * Payer , occupational health or wellness services experience preferred. *Combined ... Sales & Account management experience preferred Job Preferences: + Experience with Health Insurance + Experience with TPA(third party admin) + MGU (managing general underwriter) experience + Experience building strong client and broker relationships +… more
- Northwell Health (New York, NY)
- …applications, required. *Strong verbal and written communication skills, required. * Payer , occupational health or wellness services experience preferred. *Combined ... Sales & Account management experience preferred Preferences: + Experience working with third party administrators + Experience serving as the point person across all departments and cross functions internally and externally to ensure timely issue resolution… more
- Insight Global (Syracuse, NY)
- …local laws and regulations. Monitors billing compliance with all third-party payer regulations. Maintains confidentiality in compliance with HIPAA regulations and ... ensures that department remains compliant with all relevant regulations. Completes other duties as needed and assigned. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every… more
- Albany Medical Center (Albany, NY)
- …experience with denial prevention including but not limited to third party payer contractual agreements and Practice and Hospital Billing Regulations; review billing ... edits for long term approach for resolution at time of scheduling. + Demonstrate critical thinking and ability for successful service recovery. + Excellent attention to detail and ensuring all procedures are followed for best practice pre-service (revenue… more
- CenterWell (Albany, NY)
- …billing operations with a focus on contract interpretation, validation, and payer setup. This role works collaboratively with internal departments, professional ... additional duties as assigned to meet departmental needs. **Key Responsibilities:** + ** Payer Setup:** Create and manage payer configurations, ensuring accuracy… more
- Rochester Regional Health (Rochester, NY)
- …patient services. Under the general supervision of the Patient Access Services Manager , this position performs imperative duties including registration pre and full, ... computer system reviewing for mandatory precertification and/or other third party payer requirements + Collects complete financial information to include payer… more
- Rochester Regional Health (Rochester, NY)
- …computer system reviewing for mandatory precertification and/or other third party payer requirements * Collects complete financial information to include payer ... eligibility via insurance websites, where appropriate * Completes Medicare Secondary Payer Questionnaire for all Medicare-eligible patients * Completes all admission… more
- Rochester Regional Health (Rochester, NY)
- …computer system reviewing for mandatory precertification and/or other third party payer requirements + Collects complete financial information to include payer ... eligibility via insurance websites, where appropriate + Completes Medicare Secondary Payer Questionnaire for all Medicare-eligible patients + Completes all admission… more
- Rochester Regional Health (Rochester, NY)
- …Revenue Cycle + Review and scan insurance cards, checking for precertification and payer requirements. + Collect full financial information: payer name, ID and ... insurance eligibility via appropriate websites. + Complete the Medicare Secondary Payer Questionnaire for eligible patients. + Complete all required Medicare… more
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