Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Provides prompt feedback to physicians and management regarding pathway documentat

Medicare Claims Processing Associate, Claims Examiner Headquarters Office, 625 State Street, Schenectady, New York, United States of America Rochester Office, 220 Alexander Street, Rochester, New York, United States of America Req #1073 Friday, March 4, 2022 Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full

Under Terros' Health's policies and professional requirements, the Clinical Intake Specialist participates as a member of an interdisciplinary clinical team working with individuals diagnosed with General Mental Health and Substance Use diagnoses. Works in conjunction with the intake clinician to complete the initial intake requirements, assigns patients to appropriate tr

Help process provider applications and re applications including initial mailing, review and loading into the database tracking system Conduct audits and provide feedback to reduce errors and improve processes and performance Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others Solve complex problems on own; proactively ide

Position Title Pre Registration/Insurance Verification Representative Full Time, Days Department Admitting Job Description General Description Responsible for timely and accurate pre registration and insurance verification. Accurately interprets managed care contracts. Essential Responsibilities Perform pre registration and insurance verification within 24 hours of receip

The Sr. Analyst must be able to work successfully with cross functional teams and have the maturity to interact directly with both peers and executives across departments. The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Write SQL queries against data warehouses containing clinical oper

This classification learns to perform eligibility determination work of average difficulty. An employee in this class is customer facing and learns to interview customers and determine eligibility for SNAP and TANF programs. This classification performs responsibilities at the learning level under direct supervision. This class differs from the Eligibility Counselor 2 in

The Patient Financial Advocate I is responsible for serving as the point of contact for all functions and workflows within Revenue Cycle Pre Arrival financial management. Through conducting of a variety of tasks such as creation of price estimates, counseling patients regarding insurance coverage and benefits, arranging payment plans, assessing referrals for care, handlin

This classification learns to perform eligibility determination work of average difficulty. An employee in this class is customer facing and learns to interview customers and determine eligibility for SNAP and TANF programs. This classification performs responsibilities at the learning level under direct supervision. This class differs from the Eligibility Counselor 2 in

Files appeals on denied claims and/or forwards to the Nurse Auditor for review if applicable Maintain better than an 80% clean claim average. Attach but not limited to the medical records, implant invoices, and itemized bill to the claim when applicable Process incoming mail correspondence from the payers within 5 business days Work assigned billing reports within 2 busin

This classification learns to perform eligibility determination work of average difficulty. An employee in this class is customer facing and learns to interview customers and determine eligibility for SNAP and TANF programs. This classification performs responsibilities at the learning level under direct supervision. This class differs from the Eligibility Counselor 2 in

This classification learns to perform eligibility determination work of average difficulty. An employee in this class is customer facing and learns to interview customers and determine eligibility for SNAP and TANF programs. This classification performs responsibilities at the learning level under direct supervision. This class differs from the Eligibility Counselor 2 in

This classification learns to perform eligibility determination work of average difficulty. An employee in this class is customer facing and learns to interview customers and determine eligibility for SNAP and TANF programs. This classification performs responsibilities at the learning level under direct supervision. This class differs from the Eligibility Counselor 2 in

Job Announcement Serves as part of the Financial Section in the Criminal Division. Performs various financial duties with a primary focus on the calculation of court fines, fees, and interest, and the processing of payments received by mail, over the phone, and in person. In addition, this position is responsible for customer service, records management, and other adminis

Primary Duties and Responsibilities (details of the basic job functions) Assist in the implementation and oversight of The Auto Club Group (ACG) membership sales and service delivery in multiple retail locations across assigned region. Play a key role in the delivery of exceptional membership experience. Develop and implement initiatives to drive the attainment of members