- Access: Supports For Living (Middletown, NY)
- …health billing in New York State, particularly regarding Medicare, Medicaid, Medicaid Managed Care , and Commercial Insurance. Key Responsibilities + Lead and ... Revenue Cycle Director Location: Middletown, NY, United StatesDate Posted: Nov...processes. + Maintain a clear understanding of claims processing, payer denials, and appeals. + Prepare recurring and adjusting… more
- Highmark Health (Albany, NY)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this… more
- Guthrie (Binghamton, NY)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... in an acute care setting with strong care management, utilization review, and payer knowledge....and community providers. a) Works closely with the Medical Director and other members of the healthcare team to… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager...years of retail pharmacy technician experience or related health care administrative, and a strong familiarity with the prior… more
- Mount Sinai Health System (New York, NY)
- …timely charge capture. + Organizes routine meetings with health system business leaders and managed care to review charge and revenue capture and performance. + ... Senior Revenue Analytics Associate will report to the Senior Director of Revenue Analysis and Reporting of the MSHS....with key stakeholders across departments (eg, DTP, Human Performance, Managed Care , Finance, and clinical departments) +… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care , Commercial Insurance and other payers. Analyze, audit ... and experience. Required Skills, Knowledge and Abilities: Knowledge of guidelines of managed care and claims guidelines and ability to identify trends/issues… more
- Mount Sinai Health System (New York, NY)
- …and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid, etc.), managed care contracts and coordination of benefits is required. ... and reimbursement. This position will report to the Senior Director . This role will serve as a crucial link...payers, applicable federal and state regulations, healthcare financing and managed care . + Expected to stay updated… more
- Mount Sinai Health System (New York, NY)
- …they align with payer regulations, Medicare/Medicaid reimbursement methodologies, and managed care contracts. + Provides routine, standardized reporting to ... sets, Epic edits, and reimbursement. + Capacity to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations… more
- Ellis Medicine (Schenectady, NY)
- …and/or linkage to community resources, medical insurance coverage - Medicaid, managed care /dual-eligible parameters; etc. + Actively assists and facilitates ... and federal regulations to ensure most appropriate level of care to conserve patient, payer and hospital...+ Tracks inappropriate admissions and escalates cases to the Director to facilitate process improvements and/or education. + Performs… more
- City of New York (New York, NY)
- …of public and commercial payors at the federal and state levels, and the evolution of managed care - Value-based care and Alternative Payment Models - Price ... and healthcare systems in partnership with community, faith-based, and health care organizations. CHECW's work focuses on social determinants of health, including… more