- Bump Boxes (Rochester, NY)
- …+ Insurance verification + Prior Authorization + Billing experience - Medicare, Medicaid, or Managed Care + Medical Office + Healthcare background + CPAP and ... Medical Equipment company offers quality service, quality equipment and great follow up care to its customers. We provide competitive wages and benefits in a… more
- Rochester Regional Health (Rochester, NY)
- …of medical terminology preferred. + Knowledge of terminology used by insurance/ managed care health plans preferred. EDUCATION: LICENSES / CERTIFICATIONS: ... years customer service experience preferred, ideally in a health care setting. + Strong customer service skills and knowledge...all other sedentary criteria are met. For disease specific care programs refer to the program specific requirements of… more
- OLV Human Services (Lackawanna, NY)
- …healthcare administration, business, or related field. * Experience with NY Medicaid and managed care dental plans. * Familiarity with NYS Department of Health ... insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented within the Electronic Health Record (EHR) system.… more
- Healthfirst (NY)
- …+ **Knowledge of Trucare, Salesforce, HHAXchange, DocuSign Epaces, Sharepoint** + **Experience in managed care or other area of the healthcare industry working ... providers regarding authorizations initiation//updates, referrals, visits, tests, and faxed care plans** + **Provide education to members and providers regarding… more
- Trinity Health (Guilderland, NY)
- …skills are required as well as knowledge of working with community agencies and managed care representatives is desired. + Experience working with a diverse ... Here at SPARC Guilderland, an affiliate of St. Peter's Health Partners, we care for more people in more places. **Position Highlights:** Quality of Life: Where… more
- Highmark Health (Albany, NY)
- …in a clinical setting **Preferred** + 1-3 years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** ... outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes...to privacy, sharing only information relevant to the member's care and within the framework of applicable laws. Practice… more
- Westchester Jewish Community Services (White Plains, NY)
- …as Microsoft Word and Excel. + Comprehensive knowledge of Medicaid, Commercial and Managed Care billing and collections processes. + Excellent verbal and written ... County. We provide state-of-the-art programs and services and compassionate care to more than 20,000 people of all ages...and employee mental health & wellness initiatives + Tuition, day- care , and personal emergency reimbursements WJCS INC. IS AN… more
- CDPHP (Latham, NY)
- …related discipline required. + Utilization management experience is preferred. + Knowledge of managed care , health plan benefits, and be able to carefully assess ... a comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a generous...that includes award-winning health care coverage, health care dollars, a generous paid time off allowance, employee… more
- Family and Children's Association (Mineola, NY)
- …session and telephone calls. + Complete treatment plans in accordance with State and Managed Care Organization Guidelines. + Coordinate with child's Care ... school equivalency with two years' experience in children's mental health, addiction foster care and/or a related human services field. + Valid New York State… more
- University of Rochester (Rochester, NY)
- …for continuous coverage on all Medicaid, Out of State Medicaid, and Medicaid Managed Care cases for appropriate follow-up and timely referral to Medicaid ... Utilization Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + External… more