- University of Rochester (Albany, NY)
- …staff credentialing, privileging, and primary source verification process. Serves as a resource of the department and collaborates with other team members to advance ... + Reviews performance measures and goals with auditors and management regularly. + Collaborates and coordinates activities with the...to ensure deadlines are met. + Serves as a resource for departments and clients pertaining to medical staff… more
- Emerson (New York, NY)
- …work in a fast-paced warehouse environment with strong communication and time management skills, with the ability to multi-task, handle rush orders, prioritize and ... and vision coverage, Employee Assistance Program, 401(k), tuition reimbursement, employee resource groups, recognition, and much more. Our culture offers flexible… more
- Rochester Regional Health (Rochester, NY)
- …course sequencing, accurate billing, and timely access to ATI learning resources . + Maintain faculty credential files and supporting documentation by institutional ... (eg, projectors, document cameras, classroom technology) and support the Director in resource planning. Regulatory & Accreditation Support + Assist in collecting and… more
- Highmark Health (Buffalo, NY)
- …**JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal ... coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures… more
- Highmark Health (Buffalo, NY)
- …:** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the request, ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …attendance is expected and required. + Performs other functions as assigned by management . Level II (in addition to Level I Accountabilities) + Leads outreach to ... broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place… more
- University of Rochester (Rochester, NY)
- …some aspects of billing office operations, including basic principles of staff management /supervision. **LOCATION** + Rochester Tech Park (RTP), Gates, NY + Remote ... coordinates the daily activities for payment posting staff. + Serves as a resource for answering questions and solving problems for difficult and unusual accounts. +… more
- University of Rochester (Rochester, NY)
- …records tracking, treatment planning, financial counseling, and accounts receivable management . Responsible for seamless and timely patient movement through the ... for timely submission of pretreatment estimates and insurance approvals. Acts as a resource to patients and care providers of Medicaid approval process and other 3rd… more
- University of Rochester (Rochester, NY)
- …quality, quantity, and timeliness of tasks performed. + Prepares related logs and management reports. + Assists in the development of goals and objectives for the ... timely submission of pretreatment estimates and insurance approvals. + Acts as a resource to patients and care providers of Medicaid approval process and other 3rd… more
- Highmark Health (Albany, NY)
- …in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. + Other duties as assigned or requested. **QUALIFICATIONS:** ... certificate + Experience working in a managed care medication formulary management environment + Working knowledge of retail pharmacy and/or third party… more
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