- Humana (Trenton, NJ)
- …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
- 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
- Hackensack Meridian Health (Brick, NJ)
- …accordance with the privileges approved by the credentialing committee to provide high-quality, cost-effective patient care within their scope of practice. ... They will be a driving force to ensure patient hospital stay and care transitions are as smooth and...accountable. Need 2-3 years experience as an Advanced Practice Provider , preferably in acute care setting. Education, Knowledge, Skills… 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
- Hackensack Meridian Health (Brick, NJ)
- …in accordance with the privileges approved by the credentialing committee to provide high-quality, cost-effective patient care within their scope of practice. They ... goal achievement in patient experience and outcomes. They will provide clinical guidance to support the unit-based care managers,...They will be a driving force to ensure patient hospital stay and care transitions are as smooth and… 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
- 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
- RWJBarnabas Health (Elizabeth, NJ)
- …patient services environment billing/collections-must have a working knowledge of more than one provider such as Medicare, Medicaid , HMOs and others + Experience ... STREET, 235 Williamson Street, Elizabeth, NJ 07202 Job Overview: A hospital patient registrar collects patient information and performs several functions, from… 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