Top 8248 Production Workers, All Other Jobs in Syracuse, NY

Clinical Reimbursement & Utilization Coord
St Camillus Residential Health —Syracuse, NY
- $24 - $30 an hour
- Full-time
- Mid-level
- Case management
- LPN
- Free parking
- Dental insurance
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4d
Package Handler - Part Time (Warehouse like)
FedEx —Syracuse, NY
- $19.75 - $21.25 an hour
- Part-time
- Entry level
- Paid parental leave
- Health insurance
Talent Acquisition Partner
COORDINATED CARE ALLIANCE NY INC —East Syracuse, NY
- $83,000 - $88,000 a year
- Mid-level
- 3 years
- Driver's License
Quick Apply
Warehouse Back-up Driver
United Electric Supply —Syracuse, NY
- $20 - $22 an hour
- Full-time
- DOT physical examination
- Mid-level
- Forklift
- Paid holidays
- Disability insurance
Executive Assistant
CME Associates, Inc. —Syracuse, NY
- $25 - $32 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Health savings account
- Paid holidays
Quick Apply
Office Assistant 1
SUNY Upstate Medical University —Syracuse, NY
- $7,246 a month
- Part-time
- No experience needed
- ER
- Editing
Laboratory Assistant
St. Joseph's Health —Syracuse, NY
- $21.75 - $28.10 an hour
- Full-time
- High school diploma or GED
- Computer skills
- Medical terminology
General Helper - 3rd Shift
Packaging Corporation of America —Liverpool, NY
- $26.32 an hour
- Overtime
- Background check
- Pass drug screening
- English
- AD&D insurance
- Paid holidays
Outpatient Pharmacy Courier
SUNY Upstate Medical University —Syracuse, NY
- $39,520 - $50,589 a year
- Weekends as needed
- English
- High school diploma or GED
- Ability to lift 50 pounds
General Helper - Swing Shift
Packaging Corporation of America —Liverpool, NY
- $26.32 an hour
- Overtime
- Background check
- Pass drug screening
- English
- AD&D insurance
- Paid holidays
Senior Assembler
Saab —East Syracuse, NY
- $23.51 - $28.17 an hour
- Full-time
- Ability to walk for extended periods
- Pass drug screening
- Mid-level
- Paid holidays
- Disability insurance
Network Operations Center (NOC) Analyst
Noblesoft Technologies Inc —Syracuse, NY
- $32 - $37 an hour
- 12 hour shift
- Mid-level
- Continuous improvement
- In-person
Quick Apply
6d
Medical Taxi Driver
Suburban Transport —Syracuse, NY
- $800 - $975 a week
- Full-time
- Background check
- Clean driving record
- Mid-level
- Paid training
- Health insurance
Quick Apply
Dialysis Patient Care Technician M-F
Dialyze Direct —Syracuse, NY
- $20 - $30 an hour
- Full-time
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Warehouse Associate
Xerox —East Syracuse, NY
- $29,880 - $59,760 a year
- Full-time
- 18 years or older
- Computer literacy
- Forklift
- Paid holidays
- Health insurance
Machine Operator - Baldwinsville, NY
Tessy Plastics Corp —Baldwinsville, NY
- From $20 an hour
- 12 hour shift
- Dedicated
- High school diploma or GED
- In-person
- Profit sharing
- Paid training
Quick Apply
9d
Help Desk Analyst - II
Carrols Corp./RBI —Syracuse, NY
- $24 - $26 an hour
- Weekends as needed
- Computer literacy
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
Medical Assistant - PCC OB GYN
St. Joseph's Health —Syracuse, NY
- $20.00 - $27.85 an hour
- Full-time
- High school diploma or GED
- Clinic
- Ob/Gyn
Quick Apply
Manufacturing Cleaner - 2nd shift
TTM Technologies —Syracuse, NY
- $34,765 - $54,952 a year
- Full-time
- Ability to lift 50 pounds
- Entry level
- Health savings account
- Paid holidays
In-Process Inspector - 1st Shift
TTM Technologies —Syracuse, NY
- $47,243 - $74,675 a year
- Full-time
- Computer literacy
- English
- Mid-level
- Health savings account
- Paid holidays

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Production Workers, All Other jobs near Syracuse, NY

Clinical Reimbursement & Utilization Coord

St Camillus Residential Health -
Syracuse, NY

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Job Details

Full-time
$24 - $30 an hour
4 days ago

Benefits

Free parking
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
Life insurance
Retirement plan

Qualifications

Patient service
Associate's degree
Customer service problem-solving

Full Job Description

Become Rooted in Caring for Life at St. Camillus!

We are currently seeking a Full-Time Clinical Reimbursement & Utilization Management Coordinator

Responsibilities:

The position functions as the liaison between the St. Camillus interdisciplinary team, St Camillus Business Office, and all third-party payers. The position will work collaboratively with nursing, social work, health information management, business office, physicians, patients, and insurance companies to ensure the best utilization of SNF benefits through Medicare A, Medicare B, Medicare Part C, and other third-party payers. It is responsible for ensuring compliance with payer requirements, including prior and concurrent authorizations. Additionally, this position will contribute to coding diagnoses upon admission, provide insurance cut communication notices, manage the commencement of the audit process, and, as directed, participate in strategic reimbursement activities.

Responsible for managing concurrent authorization requirements for Managed Care Insurances, including Medicare Advantage Plans, Medicaid Plans, the VA, and Commercial Insurance Plans across all levels of care, including Brain Injury, Short Term Rehabilitation, and Continuing Care.
Submits required medical record documentation and required insurance forms to the individual payers promptly to complete all insurance concurrent reviews to achieve continued authorization for the patient's appropriate level of care.
Routinely reviews the patient/resident medical record to check that the insurance documentation requirements are met to ensure reimbursement of the patient's current level of care. Communicates with and educates the IDT on the insurance requirements for authorization.
Functions as the primary contact for insurance inquiries related to level of care and ensures that all requested documentation is provided to the insurer by requested review dates.
Documents insurance authorization information and other pertinent financial information related to the patient's continued stay in PCC financial notes.
Obtain Medicare Part B authorizations as required.
Knowledgeable of existing payer contracts, as well as non-contracted payer guidelines, including level of care requirements, reimbursement methodology and claim appeal process. This includes Medicare, Medicare Advantage Plans, Medicaid, Managed Medicaid Plans, the VA, and Commercial Insurance Plans.
Remains knowledgeable in the CMS beneficiary notice initiative (BNI), facilitates insurance cuts including the issuance of proper notice (ABN’s and NOMNC’s), and is responsible for presenting notice to the patient/family along with explaining the associated appeals process and coordinating acknowledgement/ signature.
Participates in the coordination of the Commence appeal process as required, including the gathering and submission of requested/ supportive medical documentation.
Communicate all information relevant to insurance coverage and payment to the Business Office.
This includes identifying patients/residents who may need to start the Medicaid application process.
Participates in routine daily/weekly patient rounds /case management meetings with Business Office, Social Work, Therapy, and providers to communicate current payer status and anticipate changes or cuts in level of care which may affect reimbursement. Anticipates coverage limitations and keeps team members informed of status of insurance coverage.
Assists the Business Office with claims issues, such as authorization dates and payment denials. As directed, will participate in facility denial management endeavors.
Will participate in and provide data for identified department “key performance metrics” (KPI) reporting.
Assist with fulfilling Medical Record pulls for third parties; example: attorney requests and insurance audits under the supervision of the department director
Review and assign ICD-10 diagnosis codes for incoming admissions and physician billing sheets in accordance with CMS, payer, and facility coding guidelines.
Responsible for employee injury prevention, follows safety rules, and addresses safety issues with supervisor.
All other duties as assigned by supervisor.

Qualifications:

Preference of a minimum of 2 years’ experience in an acute care or rehab setting with case management/discharge planning experience. Additionally, knowledge of Medicare, Medicaid, and Managed Care medical necessity requirements; proficiency in Excel and Word; must be organized, have strong customer service skills, as well as critical thinking and problem-solving skills.
Associate degree required; Bachelor's degree preferred.
RN, LPN, HIM, RHIT, RHIA, CCS, CPC, or equivalent healthcare reimbursement experience preferred.

Employee Benefits:

- No Mandated Shifts
- Daily Pay
- Generous PTO Structure for Full Time employees
- Health/Health Reimbursement Account/Dental/Vision Plans available
- Company Provided Life Insurance for Full Time employees
- Retirement Plans
- Tuition Reimbursement
- On the Centro Bus Line
- Free parking

Why work at St. Camillus?

Our Mission: St. Camillus is a non-denominational, not-for-profit organization dedicated to caring for life through a broad range of health care services.

Our Vision: To be the provider of choice for compassionate and innovative care.

If you are interested in joining a team of professionals who are committed to providing high quality services in a caring environment, we want to hear from you!

To learn more information about St. Camillus, visit our website at: http://www.st-camillus.org

EOE/Affirmative Action Employer

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Refine Your Search

Production Workers, All Other jobs in Syracuse, NY

Clinical Reimbursement & Utilization Coord

Package Handler - Part Time (Warehouse like)

Talent Acquisition Partner

Warehouse Back-up Driver

Executive Assistant

Office Assistant 1

Laboratory Assistant

General Helper - 3rd Shift

Outpatient Pharmacy Courier

General Helper - Swing Shift

Senior Assembler

Network Operations Center (NOC) Analyst

Medical Taxi Driver

Dialysis Patient Care Technician M-F

Warehouse Associate

Machine Operator - Baldwinsville, NY

Help Desk Analyst - II

Medical Assistant - PCC OB GYN

Manufacturing Cleaner - 2nd shift

In-Process Inspector - 1st Shift

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