- WMCHealth (Valhalla, NY)
- Pharmacy Technician a€" Specialty and Retail Pharmacy Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Allied Health Prof/Technical ... requests for specialty medications, tracking expiring authorizations and renewals + Review claims and rejections to determine required follow-up, ensuring timely… more
- Trinity Health (Syracuse, NY)
- …in surgical or specialty coding practice.Reviews chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to ... data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State… more
- Rochester Regional Health (Rochester, NY)
- …within five minutes for preregistered patients and ten minutes for others. + Contact physician offices to confirm patient details. Revenue Cycle + Review and ... + Check insurance eligibility via appropriate websites. + Complete the Medicare Secondary Payer Questionnaire for eligible patients. + Complete all required… more
- New York State Civil Service (Albany, NY)
- …through collaborative review and utilization of available data.* Serve as physician advisor to OPWDD Medical Directors and lead clinician when collaborating with ... nine Bureaus in need of the expertise of a physician including working with the Bureau Directors, the Division's...recommendations to the Bureau of Service Allocation Research and Review (BSARR) regarding cases that do not meet standard… more
- Evolent (Albany, NY)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Guthrie (Corning, NY)
- …licensure/registration and standing, Queries the National Practitioner Data Bank and Medicare /Medicaid site for fraud and abuse and ECFMG verification, Sends ... Infection Control Certificates, physicals and Certifications of Insurance, contact physician to obtain current copies, Prepares application for re‐appointment (3)… more
- Centene Corporation (New York, NY)
- …healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the ... cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality assurance, and… more
- HCR Home Care (Plattsburgh, NY)
- …computer software. Notify staff, as appropriate, to ensure proper coordination of care. + Review and approve all interim orders before they are sent to physician ... route to Medical Records to be sent to the physician for signature. Ensure any corrections are made by...MRS is unable to retrieve the unsigned order. + Review and follow-up on entitlement verification issues. + Verify/Ensure… more
- Fresenius Medical Center (Centereach, NY)
- …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy ... the designated clinical application accurately and in a timely manner. + Review treatment sheets for completeness ensure nursing signatures are documented and ensure… more
- HCR Home Care (Rochester, NY)
- …software. Notify staff , as appropriate , to ensure proper coordination of care. + Review and approve all interim orders before they are sent to physician . Notif ... route to Medical Records to be sent to the physician for signature. Ensure any corrections are made by...is unable to retrieve the unsigned order . + Review and follow-up on entitlement verification issues . +… more