- Cardinal Health (Albany, NY)
- …processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial ... experience + Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to… more
- New York State Civil Service (Jamaica, NY)
- …flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews, ... Qualifications: This challenging opportunity requires competence in: i) preparing Medicare and Medicaid cost reports for healthcare facilities;… more
- New York State Civil Service (Batavia, NY)
- …flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews, ... Preferred Qualifications: This challenging opportunity requires competence in: I) preparing Medicare and Medicaid cost reports for healthcare facilities; II)… more
- WMCHealth (Hawthorne, NY)
- …in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA) in ... as required. Responsibilities: + Process applications and recred applications for healthcare providers seeking to enroll with various insurance networks, ensuring… more
- Mount Sinai Health System (New York, NY)
- …Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well ... contracts Four to Five years of financial analysis experience in a hospital/ healthcare environment is required. Advanced knowledge of Epic, Contract Manager, and… more
- Albany Medical Center (Albany, NY)
- …procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used ... in the provision of healthcare services). This position is responsible for selecting and...the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering… more
- Mount Sinai Health System (New York, NY)
- …regulations. * Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. * Experience in working with insurance ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Stony Brook University (East Setauket, NY)
- …hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + ... candidates will have a bachelor's degree and three years' healthcare revenue cycle experience or in lieu of degree...of third party reimbursement methodology and associated healthcare claim drivers. + Expert knowledge of inpatient and… more
- Guthrie (NY)
- …Assistance: Up to $12,000 based on distance, making your move easier. + Tuition Reimbursement Program: Up to $7,500 annually, starting after just 90 days. + 403B ... patients need it most: home. As a 4-star CMS-rated Medicare -certified agency, we deliver skilled nursing, therapy services, social...Home Health Clinical Liaison serves as a consultant to healthcare providers and an advocate for patients and their… more
- Arnot Health (Elmira, NY)
- …insurance carriers + Apply knowledge of CPT, ICD-9, HCPCS codes, and Medicare requirements to ensure maximum allowable reimbursement + Resolve pre-authorization ... prior billing experience required + Knowledge of insurance processes and Medicare requirements + Strong organizational, communication, and customer service skills +… more