- MVP Health Care (Schenectady, NY)
- …environment , with some experience in the health care industry such as a hospital , medical office, or health insurance company. The ability to speak more than one ... individuals and seamlessly enrolling them in a variety of plans including Medicaid , Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP,… more
- 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
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Molina Healthcare (Albany, NY)
- …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… 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 ... Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification… more
- Trinity Health (Albany, NY)
- …Access or Patient Accounting for hospital registration and / or hospital reimbursement services Obtain National certification in HFMA CRCR and/or NAHAM ... on patient accounts and works with patients or their representatives to provide financial assistance or secure payment. **Essential Functions** **Our Trinity Health… more
- Ellis Medicine (Schenectady, NY)
- …degree preferred. + Experience: 2 years of accounts receivable experience in a hospital or healthcare setting preferred. + Must have knowledge of medical records, ... patients. + Claims in dispute with payers are reviewed daily to ensure the provider and payers are in agreement for appropriate claims reimbursed. + Monthly meetings… more
- Molina Healthcare (Albany, NY)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Molina Healthcare (Albany, NY)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) *Understanding of Hospital formulary with guidance of RSD and ... to fulfill customer needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist) *Gather and provide customer insights to Marketing teams… more
- MVP Health Care (Schenectady, NY)
- …sales environment, with some experience in the health care industry such as a hospital , medical office, or health insurance company. + The ability to speak more than ... individuals and seamlessly enrolling them in a variety of plans including Medicaid , Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP,… more
- St. Catherine's Center for Children (Albany, NY)
- …is admitted and/or discharged from a health care facility, including ER and inpatient hospital stays, will provide transitional care to ensure the continuity of ... comprehensive care planning, ongoing care coordination, and community linkage to Medicaid eligible children with complex physical and behavioral health conditions… more
