- Mount Sinai Health System (New York, NY)
- …surgeries; reviews encounter forms for accuracy. May be responsible for obtaining pre - certification for scheduled surgeries and admissions. + Enters office, ... inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures. + May run and work missing charges, edits, denials list and process appeals. Posts denials in IDX on a… more
- Trinity Health (Clifton Park, NY)
- …up calls as necessary to physician offices, patients and payers to complete pre - certification process. Care Coordination - Confirms payer is in-network with ... specialist. If not, contacts patient to discuss and make alternate arrangements as necessary per payer guidelines in communication with the care team. - Act as point of contact for anything referral related, be the expert in this area for the office(s) you are… more
- Mount Sinai Health System (New York, NY)
- …billing errors (when app + Contact insurance carriers for patients' pre - certification ; consults with Department/Practice Manager with respect to patients' ... needs or addressing escalated issues. + Provides front-end coverage as needed; records telephone encounters for routing to appropriate Providers. + Works as liaison with Physicians, patients and clinical staff to connect patients with relevant… more
- Monte Nido (New York, NY)
- …with families and outpatient providers + Interact with insurance companies for pre - certification and utilization management + Participating in discharge and ... aftercare planning + Therapeutic meal support, while modeling a healthy relationship with food + Provides safe, empathetic, and affirming care for each client and their unique circumstance based on the clients' intersecting identities Qualifications: +… more
- University of Rochester (Rochester, NY)
- …system along with all third-party payer systems. + Obtain benefits; pre - certification requirements and/or completes notification of admissions. + Document ... demographic and insurance information in a timely, accurate manner in the hospital computer system following department and hospital standards. + Identify and confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment &… more
- St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
- …managed care, and private insurance, which include insurance verification, pre - certification , and concurrent reviews. Candidates should have familiarity ... with medical and psychiatric diagnoses, screening tools and medications. A working knowledge of insurance practices, strong attention to detail, excellent organizational skills, and the ability to multitask in a fast-paced environment are essential. Education… more
- Monte Nido (White Plains, NY)
- …with families and outpatient providers + Interact with insurance companies for pre - certification and utilization management + Participating in discharge and ... aftercare planning + Therapeutic meal support, while modeling a healthy relationship with food + Provides safe, empathetic, and affirming care for each client and their unique circumstance based on the clients' intersecting identities Qualifications: +… more
- WMCHealth (Valhalla, NY)
- …+ Assure accuracy in the process of scheduling, registration, authorization, pre - certification , insurance verification, and medical necessity checks for all ... patients to ensure resolution of relevant matters for admissions, discharges, billing, and transfers for both inpatient and outpatient services. + Assist in registering and/or admitting patients when needed, maintain knowledge of programs offered by WMCHealth.… more
- Monte Nido (Victor, NY)
- …with families and outpatient providers + Interact with insurance companies for pre - certification and utilization management + Participating in discharge and ... aftercare planning + Therapeutic meal support, while modeling a healthy relationship with food + Provides safe, empathetic, and affirming care for each client and their unique circumstance based on the clients' intersecting identities Qualifications: +… more
- Monte Nido (Glen Cove, NY)
- …with families and outpatient providers + Interact with insurance companies for pre - certification and utilization management + Participating in discharge and ... aftercare planning + Therapeutic meal support, while modeling a healthy relationship with food + Provides safe, empathetic, and affirming care for each client and their unique circumstance based on the clients' intersecting identities Qualifications: +… more
Recent Jobs
-
Associate Director, Outside Counsel & Vendor Management
- Merck & Co. (Rahway, NJ)
-
Technology Compliance Partner (Remote)
- Merck & Co. (Rahway, NJ)
-
Senior Director, Clinical Research, Atherosclerosis
- Merck & Co. (Rahway, NJ)