- BronxCare Health System (Bronx, NY)
- Overview Research Patient accounts related with audits and activity from Third Party Payers and internal audits in accordance with therequired timeframe. ... Identify and report root cause for all audit recoveries by Third Party Payers and recommends andparticipate in corrective action plan for Bronxcare Health… more
- University of Rochester (Rochester, NY)
- …requirement management intervention; assist management team with Medicare and Medicaid credit balance audits , and third - party payer audits . - Coordinate ... EPIC billing application, Microsoft Word, Excel, Access, Email, various clearinghouse software, third party claims software, and various payer websites. Typical… more
- University of Rochester (Rochester, NY)
- …requirement management intervention; assist management team with Medicare and Medicaid credit balance audits , and third - party payer audits . - Coordinate ... Identifies need for in-person meetings and phone conferences with third party insurance representatives due to claim...the Hospital to get claim issues resolved and complete audits . - Research and initiate suggestions to management to… more
- Lifetime Assistance, Inc. (Rochester, NY)
- …of absences (FMLA, USERRA, ADA, ADAAA). + With the guidance of the third party administrator, coordinates loans and distribution from the 401A/403B retirement ... USA | Hourly | Full Time SUMMARY: Employee Benefits Coordinator is responsible for directing and planning day-to-day operations...documentation and information to select benefits. + With a third party administrator (TPA), is responsible for… more
- University of Rochester (Rochester, NY)
- …necessity of equipment being ordered and contract with payer. Obtain benefit information from third party payers to advise patients on their expected out of ... for services in compliance with payer standards including Medicare and other third - party payers. Ensures proper setup of documentation to payer requirements,… more
- Mount Sinai Health System (New York, NY)
- …invoices related to clinical trial activities, including study sites, CROs, and third - party service providers. + Verify and reconcile charges against contractual ... **Job Description** The Business Coordinator for clinical trial payments plays a key...ClinCard and EPIC. + Maintain organized financial documentation, supporting audits and inspections. **Accounts Payable (AP)** + Prepare and… more
- Mount Sinai Health System (New York, NY)
- …4.Identifies cost savings, and optimization opportunities, and compliance risks 5.Regularly reviews third party split billing software to ensure the accuracy and ... **Job Description** The 340B Program Coordinator is responsible for the day to day...- MSH, Mount Sinai Hospital **Responsibilities** 1.Performs real time audits of 340B claims in split-billing software and closely… more
- University of Rochester (Rochester, NY)
- …Financial Services. Receives, documents, tracks and compiles responses to Medicare, Medicaid and third party payor audits within the guidelines provided by ... and operational policies and procedures. This position oversees outpatient Medicare, Medicaid and third - party payor audits , and directs all responses to… more
- Mount Sinai Health System (New York, NY)
- …+ Create reports of "preliminary review findings" on concurrent reviews as well as third party "sampled" cases. Highlight trends and patterns + Conduct quality ... the measurements standard and review with the Performance Improvement Coordinator . Make preliminary recommendations relative to inclusion/exclusion, re-coding, and...control and validation audits on a routine basis and prior to data… more
- WMCHealth (Valhalla, NY)
- …& appealed in a timely manner. Coordinating appeal discussions with clinical & third party payors. + Develop, Implement and coordinate billing practices between ... + Recommend sound financial best practices that are able to withstand audits . + Foster continuous improvement of revenue cycle processes through education with… more
- Scotiabank (New York, NY)
- …Risk management experience (ie, systems design, security, availability, disaster recovery, third party risk management, change management, release management). ... Framework. + Work closely with internal and external IT auditors on audits and regulatory exams to demonstrate compliance with obligations and oversee submissions… more
- United Therapeutics (Albany, NY)
- …to convey project information and address questions from study sites, study team members, and Third - Party Vendors (TPVs) on behalf of UTC + Attain a thorough ... Provide advanced level support to the study team in preparation for audits /inspections; provide response for the quality and completeness of clinical trial… more