- Centene Corporation (Queens, NY)
- …Department. **Education/Experience:** Bachelor's degree in a Business Administration, Healthcare Administration, related field or equivalent experience. 7+ years ... experience in a managed care or insurance environment, preferably in Medicare or Medicaid. Previous management experience including responsibilities for hiring,… more
- Rochester Regional Health (Rochester, NY)
- …+ Provides ongoing support for the tracking and trending of the Reimbursement Specialist charge recovery activities. + Assists with special projects including but ... PREFERRED QUALIFICATIONS + Associate's degree preferred. + Experience working in a healthcare administrative office preferred. + Bilingual preferred. + One year of… more
- Somatus (Brooklyn, NY)
- …grow, and be the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Accrual of 3 weeks' Vacation (PTO) + ... Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being + Community engagement… more
- Centene Corporation (New York, NY)
- …disenrollment compliant audits, providing examples of any gaps that could change our Medicare STAR rating by H-contract. Able to interpret and understand changes to ... experience. 8+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience performing CMS Plan Finder "member choosing to… more
- Centene Corporation (New York, NY)
- …according to utilization management policies and guidelines + Works with healthcare providers to approve medical determinations or provide recommendations based on ... treatment needs and appropriate level of care preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes… more
- WMCHealth (Valhalla, NY)
- …and/or customer service experience, required + Experience working in a healthcare setting, preferred. Education: + High School Diploma or equivalent, required ... terminology, preferred + Knowledge of regulatory agency standards; Centers for Medicare & Medicaid Services, and Det Norske Veritas (DNV) standards, preferred… more
- Catholic Health Services (West Islip, NY)
- …New York State Department of Health, Joint Commission, and Centers for Medicare and Medicaid Services requirements Data abstraction and presentation along with ... related field required. Master's degree and CPHQ (Certified Professional in Healthcare Quality) preferred. Minimum 5 years of clinical nursing experience required.… 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
- Whitney Young Health Center (Albany, NY)
- …a part of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible to our diverse community. WYH has a robust ... and vision insurance, 401k with safe harbor employer match, tuition reimbursement , term life insurance, commuter benefits and more! GENERAL RESPONSIBILITIES:… more
- WMCHealth (Valhalla, NY)
- …+ Researches technical guidance in UB-92 Editor, CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance. + ... preferred. Education: Graduate of an accredited program, degree in healthcare preferred, Bachelor's, preferred. Licenses / Certifications: Certified Professional… more