- Mount Sinai Health System (New York, NY)
- …auditing experience preferred. ? Excellent current knowledge of MS-DRGs, APR-DRGs reimbursement methodology. ? Good working knowledge of electronic health records, ... registration and data systems. Non-Bargaining Unit, 618 - HSO Drg Validation - MSH, Mount Sinai Hospital **Responsibilities** Performs SMART focused reviews on ICD-10-CM/PCS coded inpt medical records to validate accuracy of codes assigned, selection of… more
- Cardinal Health (Albany, NY)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Aspen Dental (Dunkirk, NY)
- …+ Must be a DDS or DMD from an accredited school Aspen Dental-branded practices are independently owned and operated by licensed dentists. The practices receive ... This opening is a lead dentist role, Managing Clinical Director. At Aspen Dental, we put You 1st, offering the financial security and job stability that comes with working with a world-class Dental Service Organization (DSO). Our best-in-class learning and… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. Medicaid Reimbursement Unit under the general direction of the -Director and/or the Deputy Director ... performs specialized administrative work supervising the functions of the Medicaid Reimbursement units who processes invoices for payment of insurance premiums for… more
- Mount Sinai Health System (New York, NY)
- …MSHS Health System. This individual will ensure the accuracy of contract terms, reimbursement structures, and facilitate the flow of contract data into the revenue ... coding, logic, and the ability to interpret contract terms and reimbursement guidelines is essential. Revenue cycle experience is highly desirable.… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …Analytics role will provide insights and analyses to the Market Access Reimbursement , Patient Support Services and Trade teams supporting our Immunology brand. The ... a deep understanding of the data and analytics associated with the patient reimbursement adherence journey, as well as patient support service programs. **A Typical… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …policies. **Job Summary** : Responsible for analyzing benefits and reimbursement structures, developing strategies to improve margins, and negotiating favorable ... Duties:** + Review and interpret third-party payer contracts, fee schedules, and reimbursement terms. + Analyze payer benefit structures, reimbursement trends,… more
- City of New York (New York, NY)
- …care services at little or no cost. The Third-Party Health Insurance (TPHI) Reimbursement Unit is responsible for the authorization of Medicaid reimbursement ... Health Insurance (TPHI) plans. MAP's Third-Party Health Insurance Program (TPHI) Reimbursement Unit is recruiting for one (1) Principal Administrative Associate,… more
- Guidehouse (New York, NY)
- …our clients, across all levels, to deliver product planning, pricing, reimbursement , product commercialization, and regulatory and compliance solutions. Do you think ... Market Access & Pricing team provides commercialization strategy and reimbursement services to pharmaceutical, biotechnology, medical device, and diagnostics… more
- Stony Brook University (Commack, NY)
- …internal operational departments by addressing contractual disputes, claim denials, and reimbursement issues. + Participate in and support Joint Operating Committee ... (JOC) meetings, contract settlement discussions, and reimbursement escalations. + Ensure compliance with Medicare and Medicaid reimbursement methodologies and… more