- Humana (Albany, NY)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Gurwin Jewish Nursing & Rehabilitation Center (Commack, NY)
- …facility policy, and to answer all questions. Investigate and process Medicaid Conversions, Recertification's, Applications, Provider Changes, and monthly ... Jewish Nursing & Rehabilitation Center is a renowned healthcare provider located on Long Island, NY which offers a...or penalty periods incurred. + Contact case workers at hospital , Medicaid , or attorney to follow up… more
- Northwell Health (Staten Island, NY)
- …to their course of treatment. Facilitates revenue cycle reconciliation and reimbursement by working with all corresponding departments. Job Responsibility + * ... or their representative. + * Determines patient's potential eligibility for Medicaid and completes application in accordance with departmental policies and… more
- University of Rochester (Rochester, NY)
- …+ _Problem Resolution:_ Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge. + Consults with MEOS II, ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- University of Rochester (Rochester, NY)
- …**Problem Resolution:** Identifies barriers to securing public benefits which may impact hospital reimbursement and timely discharge. Consults with MEOS II, MEOS ... and provides outreach services to patients requiring public benefits including; Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Molina Healthcare (Albany, NY)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… more
- Centene Corporation (New York, NY)
- …the need for additional health plan providers + Manage and coordinate customized provider contracts and hospital contracts + Participate in physician and ... experience. Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid… more
- Albany Medical Center (Albany, NY)
- …coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal ... Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Hospital Coder, Albany Health Information Management The Hospital Coder applies… more
- Catholic Health Services (Roslyn, NY)
- Overview St. Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… more
- Catholic Health Services (Roslyn, NY)
- Overview St. Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Albany Medical Center (Albany, NY)
- …for sequencing diagnoses and procedures by following the ICD-10-CM/PCS and Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal ... codes following the ICD-10-CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or… more
- Glens Falls Hospital (Glens Falls, NY)
- …team is looking to help you broaden your career horizons at Glens Falls Hospital ! Come join our team of medical billing experts as the Accounts Receivable ... for a hybrid work environment ** *The Glens Falls Hospital Impact* *Mission* Our Mission is to improve the...Utilize all available tools to pursue accurate and timely reimbursement including internal tools, as well as payer meetings,… more
- Ultimate Care Inc (Brooklyn, NY)
- …+ Documentation: Maintain complete and accurate records, including required documentation for Medicaid reimbursement . + Remittance Advice: Review Medicaid ... correct reimbursement and identify any issues. + Medicaid Compliance: Stay updated on Medicaid billing...in a timely manner. + ABNs (Advance Beneficiary Notices): Provide ABNs to Medicare beneficiaries when services are likely… more
- University of Rochester (Rochester, NY)
- …Law, the False Claims Act, Civil Monetary Penalties, and Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and New York State ... Medicaid ). Manage disputes, risks and projects related to regulatory...to the Office of Integrity and Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare… more
- Mount Sinai Health System (New York, NY)
- …experience and/or pharmacy insurance experience required. + Five years pharmacy reimbursement analysis and collection experience with Medicare, Medicaid , ... **Job Description** Provide analysis and demonstrate understanding of pharmacy revenue...for accuracy; provides necessary follow-up. * Communicates and resolves reimbursement issues to coordinate payer/ provider relations between… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: This position will provide a high level of administrative support and OR scheduler to the Division of Breast and Plastic Surgery. This position also ... for the Division of Breast and Plastic Surgery academically and between other hospital facilities. + Coordinating OR Surgical cases for surgeons + Schedules into… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …coding, Medicare Advantage and Commercial Hierarchical Condition Category (HCC) coding, and Medicaid Clinical Risk Groups (CRGs) to ensure compliance. * Assist in ... and retrospective medical record coding. * Works with vendors, providers and hospital Medical Records Departments and Business Office staff to coordinate medical… more
- Stony Brook University (East Setauket, NY)
- …inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of third party payer ... **Position Summary** At Stony Brook Medicine the **Revenue Cycle Analyst** will provide operational support and analytical and reporting services throughout the … more