- 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
- Molina Healthcare (Albany, 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
- 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 ... Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 Hospital Coder, Albany Health Information Management The Hospital Coder applies… more
- Albany Medical Center (Albany, NY)
- …for sequencing diagnoses and procedures by following the ICD-10-CM/PCS and Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal ... codes following the ICD-10-CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or… more
- New York State Civil Service (Albany, NY)
- …environment, including inpatient services, clinic services, and rehabilitation services.* Analyze hospital provider Institutional Cost Reports (ICR) and evaluate ... programs, providing revenue management support and other policy guidance.* Review Medicaid Managed Care Rates and analyze payer contracting relationships with… more
- Cardinal Health (Albany, NY)
- …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
- CVS Health (Troy, NY)
- …Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... face interactions which include visits to member homes, in the community, and/or provider locations. + Care management activities will focus on quality of care,… 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
- 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