- 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
- 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 preferred.… more
- Albany Medical Center (Albany, NY)
- …coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or additional documentation when there is ... by following the ICD-10-CM/PCS and Uniform Hospital Discharge Data Set (UHDDS), Medicare , Medicaid and other fiscal intermediary guidelines. Support the reporting of… more
- Cardinal Health (Albany, NY)
- …and supply chains across public and private sectors, specifically including Medicare DMEPOS reimbursement landscape. + Comprehensive communication and ... of experience, preferably including relevant work within manufacturing and/or distribution healthcare sectors, preferred. + Deep familiarity with Urology, Ostomy and… more
- Centene Corporation (New York, NY)
- …Directors** Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid ... and Medicare members, as well as to individuals and families...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- Catholic Health Services (Roslyn, NY)
- …insurance status to include but not limited to: ability to pay, Medicare /Medicaid status and all third party payors; Obtains pre-certification and authorizations ... with concentration of courses in Secretarial Science, Associates Degree in Healthcare or Business Administration required. Bachelor's Degree preferred. Knowledge of… more
- Catholic Health Services (Rockville Centre, NY)
- …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... by payor source, such as: TPN, Enteral Nutrition and Inotropic Agents for Medicare . Evaluates current and future clinical and service needs for existing and new… more
- Centene Corporation (New York, NY)
- …5+ years of experience in claim processing payer support services in healthcare , preferably with Medicare , Medicaid or equivalent business experience. Ability ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
- Weill Cornell Medical College (New York, NY)
- …CPT, ICD-9, and ICD-10 coding. + Working knowledge of third party payor reimbursement - Medicare , Medicaid, Managed Care and commercial insurance. **Licenses and ... Approximately 2 years or more years of work experience in a healthcare setting, preferably with a strong customer service background **Knowledge, Skills and… more
- Ellis Medicine (Schenectady, NY)
- …patient registration, business office or billing experience in a healthcare setting is preferred. Certification: Registered Health Information Technician (RHIT) ... precertification of benefits and coverage; HMO contracts through various agencies, Medicare and Blue Cross eligibility and benefits through the OMNIPRO system,… more