- BronxCare Health System (Bronx, NY)
- …years experience with verification/eligibility of insurance Familiar with Medicaid, Medicare and Managed Care guidelines Knowledge of medical terminology Must be ... service; or at bedside, to verify demographic, Insurance and primary care physician information. Process to include insurance verification and eligibility,… more
- Norstella (Albany, NY)
- …VP level sales executives in applying MMIT's solutions to pharmaceutical manufacturers, managed care organizations, consultants, health care technology ... firms, and other third parties. The Solution Consultant must possess a domain expertise of all MMIT's products and seek to address the business problems expressed by MMIT's prospective and current clients. **Responsibilities:** * In collaboration with sellers… more
- Molina Healthcare (Syracuse, NY)
- …Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network), for management and supervision of ... Experience** 6 - 8 years working in a claims processing system. Health care environment experience. To all current Molina employees: If you are interested in… more
- UPMC (Jamestown, NY)
- …Medical Terminology, third-party healthcare coverage experience, and a strong understanding of managed care regulations are preferred. + Experience with personal ... Support and contribute to UPMC core values and guiding principles of Your Care . Our Commitment and abide by all UPMC departmental policies, procedures and goals… more
- New York State Civil Service (New York, NY)
- …with the Health Department on matters of joint concern, including those impacting Managed Care Organizations and Continuing Care Retirement Communities;* ... Supervises the analysis and comments on proposed amendments to laws affecting companies under the Health Business Unit's jurisdiction;* Supervises the drafting of proposed new regulations, circular letters, and law amendments;* Coordinates and oversees the… more
- New York State Civil Service (Bronx, NY)
- …need for and carry out consultations with external psychiatric personnel and managed care companies, educate patients individually, participate with other ... Psychiatrist 1 or Psychiatrist 2 - Bronx ATC Occupational Category Health Care , Human/Social Services Salary Grade Hourly Bargaining Unit PS&T - Professional,… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …account reconciliation + Account adjustments, bad debt processing + Third party, Medicare, Managed Care , and private billing, claim corrections and follow-up + ... listen attentively to their needs and respond appropriately + Safety: Must take care of equipment and employ good safety habits + Leadership: Must gain acceptance… more
- Sprinklr (NY)
- …Learn more about our culture here: The Sprinklr Way. **Job Description** **Meet Our Managed Services Team!** Our Managed Services Team at Sprinklr drives product ... our team to reach their full potential. **Consultant Roles We Hire For:** Our Managed Services Team commonly hires for three Consultant roles: + ** Managed … more
- Molina Healthcare (NY)
- …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. + Strong… more
- Elevance Health (Latham, NY)
- …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... require a high level of negotiation skills. Fee schedules are customized** . PRIMARY DUTIES: + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. + Works independently and requires high level of… more