- The New Jewish Home (Bronx, NY)
- The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care ... Specialist is responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must... billing is required + Must Understand Medicare, Managed Care , Medicaid (NY) billing … more
- Guardian Life (New York, NY)
- The Operations Sr Specialist will serve as the expert on all aspects of our managed account model management, trading platform, annuity operations as well as all ... associated custody, clearance, and order execution processing. Managed account implementation strategies include Strategists, UMA, SMA, Rep as PM, Multiple Strategy… more
- Weill Cornell Medical College (New York, NY)
- …a timely manner. + Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors. + Participates in annual and ... Title: Revenue Cycle Specialist -Revenue Integrity (REMOTE) Location: Midtown Org Unit: Reg/Elig/COB...services billed and all documentation standards are met for billing . + Analyze for invalid denial trends, payer specific… more
- Hackensack Meridian Health (Hackensack, NJ)
- …be responsible for the timely review and submission of appeals for denied managed care inpatient and/or outpatient claims to insurance companies for ... determinations. Gathers and evaluates the information for appeals of Managed Care audits, clinical and technical denials...professional manner any instances where an alternate level of care billing might be appropriate and accurately… more
- Prime Healthcare (Denville, NJ)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
- Prime Healthcare (Denville, NJ)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience +… more
- Acacia Network (Bronx, NY)
- …Minimum 2 years of experience in HRA Public Assistance, Food Stamp, Medicaid, managed care plans, Supplemental Social Income (SSI), Social Security Disability ... Third Party Billing Entitlement Specialist Bronx, NY : 2/12/2024 Job Description Job ID#: 3795 Job Category: Third Party Billing Position Type: Full Time… more
- AbbVie (New York, NY)
- …relationships with appropriate providers within territory * Remain current on key managed care , reimbursement, and policy activities Qualifications o At least ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...LinkedIn. Job Description The Immunology Field Access & Reimbursement Specialist acts as an in-office resource that is available… more
- Prime Healthcare (Denville, NJ)
- …position is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. ... Qualifications Education and Work Experience + Minimum four years hospital billing and collection experience required. + Medical and Insurance terminology essential.… more
- Banner Health (New York, NY)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... degree in Health Information Management and current continuing education. In an acute care setting doing inpatient, requires Certified Coding Specialist (CCS) or… more