- Glens Falls Hospital (Glens Falls, NY)
- …your skills in compliance, customer service, medical billing, and finance in healthcare . If you are an associate level or an experienced administrative professional ... with a working knowledge of healthcare billing, working with insurance companies, and Health Information...Utilize all available tools to pursue accurate and timely reimbursement including internal tools, as well as payer meetings,… more
- Highmark Health (Albany, NY)
- …topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- Blue Matter (New York, NY)
- …support market access and pricing + Experience in / understanding of evolving healthcare policy and the impact on access + Demonstrated subject matter expertise in ... and pharmacy benefit across all major US payer segments (eg, Commercial, Medicare , Medicaid, and Federal Markets) + Demonstrated knowledge of reimbursement … more
- UHS (Johnson City, NY)
- …Regulations of the Medical Staff, and in conformity with the requirements for reimbursement under Medicaid, Medicare and other third party payers. Salary Range ... in the current medico-political climate in the country and pertinent reimbursement issues. EXPERIENCE: Previous general laboratory experience is preferred. Organize… more
- Wondr Health (Albany, NY)
- …AND ABILITIES** **:** + Deep understanding of health plan operations, reimbursement models, and regulatory considerations. + Strong negotiation and contract ... business development, or client success, preferably in digital health, health tech, or healthcare payer space. + 10+ years' experience in a strategic client growth… more
- Centene Corporation (Getzville, NY)
- …New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare , MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; ... Fidelis Care's care management approach. **Highly Preferred** Sales experience** Healthcare Navigator experience** Healthcare Facilitator experience** **Highly… more
- Mount Sinai Health System (New York, NY)
- …pre-clearance, ensuring a high degree of patient satisfaction and maximum reimbursement to the institution. Responsibilities include but are not limited to: ... education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate...respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove… more
- Trinity Health (Syracuse, NY)
- …data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State ... CCS, CPC/COC or other coding credentials is required. CHC ( Healthcare Compliance Certification) preferred. AAPC, AHIMA or CCSP certification/membership… more
- SUNY Upstate Medical University (Syracuse, NY)
- …using ICD-10, CPT, and HCPCS codes. + Ensure compliance with current healthcare regulations and payer requirements. + Prepare and submit claims to insurance ... companies, following up on unpaid or denied claims. + Collaborate with healthcare providers to clarify diagnoses and obtain additional information. + Maintain… more
- Heath System Services (Niagara Falls, NY)
- …medical necessity qualification, and prior authorization. + Maintain adherence to Medicare , Medicaid, and commercial payer standards. + Act as a resource ... role strongly preferred. + Bachelor's degree or equivalent experience in business, healthcare , or a related field strongly preferred. + High School Diploma, GED… more