- City of New York (New York, NY)
- …and forward to OMR electronically via EDITS (Eligibility Data and Image Transfer System ) Renewal. Most consumers return their renewals by mail, but they also have ... monthly. The Managed Care Program (MCP), interfaces with managed care delivery systems comprised of Managed Care Organizations (MCOs) and case management providers… more
- CVS Health (New York, NY)
- …expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall ... + Encourage and maintain engineering excellence on the team to build reliable distributed systems that our customers can build their business on + Become a trusted… more
- Albany Medical Center (Albany, NY)
- …and/or monitor progress of defined illnesses or treatments initiated by a physician . This position requires the exercise of independent judgement and responsibility ... results and quality control + Demonstrates and uses the applicable computer systems + Uses effective written and verbal communication skills to cooperatively work… more
- UHS (Johnson City, NY)
- …records, and performance evaluations. + Collaborating with revenue cycle, nursing, physician offices, and ancillary departments to support cohesive care delivery. + ... Staying current on payer policies and participating in payer meetings to inform system updates and staff education. + Assisting with annual budget planning and… more
- Trinity Health (Schenectady, NY)
- …Sunnyview is an affiliate of St. Peter's Health Partners. **Prospective Payment System (PPS) and Quality Reporting Program (QRP) Coordinator for Sunnyview Rehab ... developing and overall coordination of activities that support the Prospective Payment System (PPS) and Quality Reporting Program (QRP) processes for the inpatient… more
- Rochester Regional Health (Rochester, NY)
- …process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments and coverage changes as needed. ... + Participate in team meetings which review new procedures, new denial types and system updates. Report problems and patterns to the supervisor to help keep policies… more
- UHS (Johnson City, NY)
- …patients as well as co-workers. + Participates in all Radiology Management System functions pertaining to patient procedures. + Provides patient education as ... required. + Maintains effective communications with referring physician and radiologist staff to provide for the efficient delivery of CT procedures. + Abides by the… more
- UHS (Johnson City, NY)
- …patients as well as co-workers. + Participates in all Radiology Management System functions pertaining to patient procedures. + Provides patient education as ... required. + Maintains effective communications with referring physician and radiologist staff to provide for the efficient delivery of CT procedures. + Abides by the… more
- UHS (Norwich, NY)
- …closed Sundays. Qualifications: + Current NYS licensure as a Nurse Practitioner or Physician Assistant + Minimum 1-2 years of experience in walk-in, urgent care, ... Hospital is a proud member of United Health Services, a regional not-for-profit health system serving New York's Southern Tier. Our mission is to improve the health… 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 ... and Blue Cross eligibility and benefits through the OMNIPRO system , Medicaid through the EMEVS system on...testing and a variety of departments based on the physician 's orders and the needs of the individual patient,… more