- 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
- University of Rochester (Rochester, NY)
- …meet their hospital obligation. + Serves as an information channel for obtaining pre - certification approvals for elective and other inpatient stays, as required ... by third-party payors. Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed. + Interviews responsible parties to determine credit status as a tool for securing patient accounts. Verifies… 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
- Mount Sinai Health System (New York, NY)
- …billing errors (when applicable). + 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
- 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
- Rochester Regional Health (Rochester, NY)
- …on-line sites an/or teleprocessing units to verify eligibility, benefits, and pre - certification requirements. Documents accounts with this information and ... communicates information to Patient Family Services department as necessary. + Prepares daily loss and gain records for third party accounts, and transactions for DRG adjustments, DRG discounts, or contractual adjustments. + Accurately works payer remittances.… more
- St. Mary's Healthcare (Amsterdam, NY)
- …* Assists with coordination of activities related to insurance pre - certification /authorization. Additional Responsibilities: + Registration duties as needed ... + Other duties as assigned. Education: High school diploma or GED required. 1-3 years of experience directly related to payor reimbursement field preferred. Knowledge of third party payors and Federal Poverty Guidelines preferred. Certifications / Licensure:… 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
- Finger Lakes Health (Geneva, NY)
- …accuracy, and completeness of patient registration information, insurance verification, insurance pre - certification , and up front collections. Acts as a liaison ... to various departments within the hospital as well as external agencies. The Lead will participate in hiring, orienting and assigning staff to assure adequate coverage and maintain established productivity and quality standards. Will lead by example, complying… more
- Crouse Hospital (Syracuse, NY)
- …Collaboratively works with other members of the team to ensure all pre - certification and authorization requirements are completed within the appropriate ... timeframes. + Professionally educates patients and families about New York State insurance programs and answers questions in a timely and courteous fashion. + Properly documents and accurately enters patient information into the patient accounts system,… more