- 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
- 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
- Molina Healthcare (New York, 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
- 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
- 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
- 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
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... of board-certified cancer specialists. The APP is expected to provide hematology & medical oncology specialty patient care in...sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition … 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
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... + Generous PTO, annual sick days, and paid holidays + GME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition reimbursement for advanced… 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
- 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
- Atlantic Health System (Florham Park, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... including 6 Child and Adolescent Psychiatrists. The candidate will oversee and provide patient care for children and adolescents with psychiatric needs referred from… 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
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... World Report ranked Morristown Medical Center as a top hospital nationwide for cardiology & heart surgery. The Advanced...and Time Off incremental to PTO days + Tuition reimbursement for Advanced Degrees + Outstanding growth & mentorship… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... skills, clinical expertise, and previous experience in a fast-paced practice, hospital service or with stress testing environment. + Master's degree required… more
- Atlantic Health System (Morristown, NJ)
- …appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... + Prepares written reports of the audit findings by provider /practice + Follows up with providers as needed until...+ Assists with claim denial reports to ensure optimal reimbursement + Serves as a resource to the office… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... for Annual CME and Time Off incremental to PTO days + Tuition reimbursement for Advanced Degrees + Outstanding growth & mentorship opportunities Please apply to… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... independently Benefits: + Competitive salary + Comprehensive Malpractice Policy + Full reimbursement for Boards and Licensing fees + Outstanding growth & mentorship… more