- Northwell Health (New York, NY)
- …patient/family in completing Medicaid applications in order to ensure coverage for Hospital , Nursing Facility, Home Care services and community Medicaid . + * ... etc to obtain appropriate medical, legal and financial information to complete Medicaid application.Notifies appropriate hospital staff regarding Medicaid … 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
- Mount Sinai Health System (New York, NY)
- …of the quality of patient care, performance improvement, education, research, hospital reimbursement , and public health reporting. **Qualifications** 1-2 years ... 331 - Clinical Document Mgnt - MSH, Mount Sinai Hospital **Responsibilities** 1. Ability to write queries that are...and New York State regulations, as dictated by CMS, Medicaid , and third party payers regarding reimbursement … more
- Intermountain Health (Trenton, NJ)
- …to appropriately maximize reimbursement . Interacts with Medicare Administrative Contractor, State Medicaid , and hospital personnel as needed. + Acts as a ... individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed. + Prepares monthly Medicare..., and/or governmental reporting + Experience with Medicare and Medicaid reimbursement world and cost reports. +… 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
- RWJBarnabas Health (Somerville, NJ)
- …- Hybrid -Full Time, Day - Central Hospital Sites, NJReq #:0000174921 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:RWJBarnabas ... the candidate's educational background, skills and professional experience. ** Central Hospital Sites Include: RWJUH at Somerset- Somerville, NJ; RWJUH at New… 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
- CVS Health (Plainfield, NJ)
- …The care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective ... **Union** County + 3+ years clinical practice experience, eg, hospital setting, alternative care setting such as home health...NJ area. Mileage is reimbursed per our company expense reimbursement policy + Successful completion of the NJ Choice… more
- Cardinal Health (Trenton, NJ)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
- Weill Cornell Medical College (New York, NY)
- …and Medicaid Services (CMS), and other third party payers reimbursement and coding regulations. Submits recommended coding changes for approval by physicians. ... practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital /Weill Cornell Medical Center,… more
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional ... documenting, and reporting underpayment trends, payer updates, payer regulations, and provide feedback on workflow procedures pertaining to our negotiated contracts.… more
- Hunterdon Health Care System (Flemington, NJ)
- …activities of the claims processing and accounts receivables for the Acute Care billings ( hospital ) under the direction of the Director of the SBO. . Maintains an ... efficient billing process for all hospital ancillary areas. Maintains best practices with registration, billing,...seeks opportunities to give directions, answer a question, or provide information or reassurance to customers; Acts as a… more
- Bristol Myers Squibb (New York, NY)
- …of Market Access and Cell Therapy technical expertise within both payer and hospital systems + Thorough knowledge of reimbursement , coding and billing across ... and reimbursement , inclusive of private Commercial coverage, Medicare, and Medicaid + Knowledge of health economics + Thorough knowledge of the healthcare… more
- Weill Cornell Medical College (New York, NY)
- …CPT, ICD-9, and ICD-10 coding. + Working knowledge of third party payor reimbursement - Medicare, Medicaid , Managed Care and commercial insurance. **Licenses and ... practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital /Weill Cornell Medical Center,… more
- Humana (Trenton, NJ)
- …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- Weill Cornell Medical College (New York, NY)
- …CPT, ICD-9, and ICD-10 coding. + Working knowledge of third party payor reimbursement - Medicare, Medicaid , Managed Care and commercial insurance. **Licenses and ... practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital /Weill Cornell Medical Center,… 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
- Allaire Rehab & Nursing (Edison, NJ)
- …Federal and State regulations and reimbursement (Managed Care, Medicare, and Medicaid ). + Provide assistance with new Stakeholder orientation regarding the ... Spending Account + 401k available + Career advancement opportunities / tuition reimbursement + Complementary uniform + Friendly work environment + Referral bonus +… more
- CVS Health (Somerset, NJ)
- …The care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective ... County and surrounding counties. Mileage is reimbursed per our company expense reimbursement policy + 3+ years clinical practice experience, eg, hospital … more