- Cardinal Health (Albany, NY)
- …+ Manage workload of inbound faxes (if applicable) + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Have the ability to ... obtain missing information + Mail out appropriate documents to physician offices + Interact with the patient referral sources...work with a sense of urgency + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
- CenterWell (Hauppauge, NY)
- …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers… more
- Trinity Health (Syracuse, NY)
- …department experience preferred. **Position Purpose:** The Registered Nurse Utilization Review (UR), Clinical Care Manger (CCM) actively manages the utilization ... review process and patient progression from Admission to Discharge....and status. + Uses Interqual and Indicia/MCG software and Physician Advisors to determine appropriate patient status/level of care… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and PH care across the UM/ CM staff. + Participates in clinical peer review recruitment and supervision. + Collaborates with Provider Relations staff to ensure an ... that other Behavioral Health medical directors reviewing pediatric cases review those cases in accordance with Company policies. +...+ Must hold a NYS medical license as a physician board certified in child and adolescent psychiatry without… more
- Bassett Healthcare (Herkimer, NY)
- …the comprehensive care plan with the medical plan of care as determined by physician orders and conferences with the attending physician . Interpret care to ... in accordance with facility policies and procedures. Completes all required Medicare documentation. Report nursing care information to other Nursing Supervisors and… more
- WMCHealth (Valhalla, NY)
- Case Management Assistant Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care ... any updates or completions notes for all referrals + Review worklist for new referrals throughout the day to...preferred + Knowledge of regulatory agency standards; Centers for Medicare & Medicaid Services, and Det Norske Veritas (DNV)… more
- Stony Brook University (East Setauket, NY)
- …not limited to:** + Provides excellent customer service to all patients and physician offices. + Educates and screens patients for participation in the Hospital's ... with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Ellis Medicine (Schenectady, NY)
- …account for billing upon patient discharge and provides such information to physician offices when requested. + Interaction with third party payers for verification ... precertification of benefits and coverage; HMO contracts through various agencies, Medicare and Blue Cross eligibility and benefits through the OMNIPRO system,… more
- Elderwood (Williamsville, NY)
- …treatments if necessary. + Initiates speech-language therapy plan of care according to physician orders; and maintains required contact with the physician during ... other disciplines. + Attends Resident Care Planning and Family/Resident Care Plan Review meetings for residents currently in a speech-language treatment program. +… more
- Elderwood (Lockport, NY)
- …treatments if necessary. + Initiates speech-language therapy plan of care according to physician orders; and maintains required contact with the physician during ... other disciplines. + Attends Resident Care Planning and Family/Resident Care Plan Review meetings for residents currently in a speech-language treatment program. +… more