- FlexStaff (Chappaqua, NY)
- …Medical Billing & AR Experience- Experience in Medicare Part B and in Network Managed Care , Medical Coding Modifier Experience & Large Volume Experience. This ... role is a hybrid schedule, requiring proper computer hardware including secure Wi-Fi and dual monitors to facilitate remote work. Join a reputable organization that values expertise, teamwork, and excellence. We offer a dynamic work environment with… more
- Catholic Health Services (Roslyn, NY)
- …required for inpatient admission or ambulatory encounters from insurance carrier or managed care company and verifies in advance coverage limits, deductible ... amounts, and pre-existing clauses on all procedures; Performs Daily Appointment Reconciliation to ensure the full capture of all inpatient and outpatient surgical cases and ambulatory visits; Collect, collates and transmits surgical inpatient and outpatient… more
- Catholic Health Services (Rockville Centre, NY)
- …or insurance website Appropriate authorization and/or referral information is obtained per Managed Care guidelines; all pertinent information is documented in ... notes and entered into the appropriate registration fields. As part of Revenue Cycle management, collects co-payments, co-insurance, deductible and self pays at point of service Salary Range USD $25.89 - USD $25.89 /Hr. The salary range or rate listed does not… more
- Molina Healthcare (Rochester, NY)
- …or equivalent combination of education and experience **Required Experience** + Min. 3 years managed care experience + Experience in one or more of the ... following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria. **Preferred Education** Bachelor's Degree… more
- Molina Healthcare (Yonkers, NY)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- Helio Health Inc. (Syracuse, NY)
- …Social Security Income Guidelines. + Coordinates services with external case managers, managed care operators, licensing, funding, and contracting agencies. + ... Provide excellent customer service to patients/residents, internal and external community agencies and organizations. + Other duties as assigned. Qualifications + Minimum High School Diploma or GED required. + Prior experience with money management and… more
- Teva Pharmaceuticals (White Plains, NY)
- …and virtual environments, and be proficient with technology * Knowledge of reimbursement, managed care , or marketing preferred * New product launch experience ... preferred * Broad therapeutic area experience particularly in therapeutic area preferred * Candidate must be able to successfully pass background, motor, and drug screening * Valid US driver's license and acceptable driving record required Full time documented… more
- Outreach Development Corporation (Richmond Hill, NY)
- …compliance with healthcare regulations, and payer requirements (eg, Medicare, Medicaid, Managed Care Organizations, and Commercial/Private insurers). + Implement ... and maintain billing procedures and best practices to optimize revenue collection. + Managing the collection process, including follow-up on outstanding claims and patient balances, and resolution of billing/denial issues. + Analyzing billing and collections… more
- Molina Healthcare (Buffalo, NY)
- …**N** **C** **E:** + 3+ years of medical record abstraction experience + 3+ years managed care experience. + Advanced knowledge of HEDIS and NCQA. **PR** **E** ... **FE** **R** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S** **I**… more
- Healthfirst (Enfield, NY)
- …and exceeding growth and retention expectations. Prepare weekly and monthly events calendars, managed care reports, order supplies for events and submit monthly ... expense reports. Prepare weekly calendar of appointment and opportunities as required. **Minimum Qualifications** + High School Diploma or GED Equivalent + Must be able to travel 75% of the time. + Experience in Sales (ie retails, product, etc.), Marketing… more