- Catholic Health Services (Melville, NY)
- …State and PRO regulations preferred. | Maintains knowledge of requirements by third party payers, regulatory agencies, and managed care entities concerning ... Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and appeals… 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
- 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