- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include… more
- Molina Healthcare (Rochester, NY)
- …and oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... in Director level role or above. + Extensive understanding of Medicare Advantage, ACA and Medicaid risk adjustment processes, including encounter data… more
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Billing Specialist position reports directly to the Director of Finance and will work within a team environment to complete the ... submissions, follow up rejections and posting payments for Medicaid , Medicare and other third party payers....and resubmitting claims to payers; + Regularly meet with Director to discuss and resolve reimbursement issues or billing… more