• Pre Authorization Representative - Medical…

    Arnot Health (Elmira, NY)
    …for outpatient medical oncology services in a timely and accurate manner + Review appointment schedules daily to confirm all procedures have insurance approval + ... Communicate effectively with patients, providers, physician offices, and insurance carriers + Apply knowledge of...+ Apply knowledge of CPT, ICD-9, HCPCS codes, and Medicare requirements to ensure maximum allowable reimbursement + Resolve… more
    Arnot Health (08/16/25)
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  • Nursing Supervisor

    Option Care Health (New Rochelle, NY)
    …a licensed professional who provides direct and indirect patient care services under a physician 's plan of care and in accordance with the policies and procedures of ... direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also...using find and replace, undo, spell check, track changes, review pane and/or print functions). + Basic level skill… more
    Option Care Health (08/15/25)
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  • Business Associate-MSW-Emergency Department - Part…

    Mount Sinai Health System (New York, NY)
    …Gives patients their prescription and discharge portion of the chart 16. Gives attending physician walk out charts for review twice daily **About Us** **Strength ... central log assuring all fields are complete 5. Completes Medicare Payor Questionnaire for all Medicare patients...5. Completes Medicare Payor Questionnaire for all Medicare patients 6. Collects visit fees and insurance co-payments… more
    Mount Sinai Health System (08/14/25)
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  • Reimbursement Specialist

    Cardinal Health (Albany, NY)
    …and keep updated on policy or procedural changes + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Enter detailed information ... or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
    Cardinal Health (08/14/25)
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  • Coding Data Quality Auditor

    CVS Health (Albany, NY)
    …to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... of 1 year recent and related experience in medical record documentation review , diagnosis coding, and/or auditing. + Completion of AAPC/AHIMA training program for… more
    CVS Health (08/09/25)
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  • Case Manager- Case Management

    Arnot Health (Elmira, NY)
    …related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case ... practice. The Case Manager will work cooperatively with the Physician Advisor and Team. DUTIES AND RESPONSIBILITIES: ** 1....and stay in accordance with Interqual. ** 2. Prepares Medicare /Non Medicare hospital notices of noncoverage (HINN)… more
    Arnot Health (08/08/25)
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  • Assistant Director of Reimbursement

    Catholic Health Services (Rockville Centre, NY)
    …hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the ... complete assigned reports and provide accurate and timely information for review by the Director of Reimbursement or their designee. DUTIES/RESPONSIBILITIES:… more
    Catholic Health Services (07/16/25)
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  • Credentialing Specialist-ONSITE

    WMCHealth (Hawthorne, NY)
    …credentialing for the medical staff at Westchester Medical Center Advanced Physician Services. Primary responsibility of this position is ensuring that all ... in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA) in… more
    WMCHealth (06/18/25)
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  • Registered Nurse 1 Psychiatric- Hourly (McPike…

    New York State Civil Service (Utica, NY)
    …patients, including comprehensive admission assessments, dispensing medication, providing physician -ordered medical treatment, transcribing orders, and collection of ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare more
    New York State Civil Service (06/06/25)
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  • Ambulatory Office Assistant I

    Bassett Healthcare (Milford, NY)
    …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based ... other staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor....or films related to appointment are available for the physician at the time of the appointment using available… more
    Bassett Healthcare (08/14/25)
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