- Access: Supports For Living (Middletown, NY)
- …Minimum 3 years' commensurate experience required. + Prior experience with medicar/Medicare managed care billing + Behavioral Health Insurance billing knowledge ... + Excellent problem solving skills. + Excellent computer skills (Proficient in Excel). + Excellent organization skills. + Excellent communication skills. + Can work both independently and in a team environment. Education & Experience: + High School graduate. +… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …exams. + An understanding of health insurance & health insurance products, managed care , accounting principles, the competitive market, the legislative ... environment, and any regulatory issue affecting the Health Plan. + Self-starter with the ability to work independently. + Intermediate proficient programming skills in SQL, SAS, VBA, or similar programming language. + Ability to assess and implement efficiency… more
- Stony Brook University (East Setauket, NY)
- …reimbursement methodologies. + Knowledge of third party payer reimbursement and managed care contracts. + Experience investigating, reviewing and following-up ... on rejected/denied inpatient and outpatient hospital claims. + Knowledge of CPT, HCPCs and ICD-10 coding principles. + Experience with Cerner Invision and/or Cerner Millennium Patient Accounting. + Experience in Insurance Verification. + Experience working in… more
- BronxCare Health System (Bronx, NY)
- …system and operational changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare. Keeps front-end administrators up-to-date with ... payer changes or guidance. - Maintains and reconciles daily therapy services. - Assists clinics in account updating and information reporting. - Performs in-service as needed for insurance identification and reporting. Coaching and performance reviews for… more
- Access: Supports For Living (Middletown, NY)
- …portals. + Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid, Medicaid Managed Care and other payers' billing regulations for all programs. + ... Understand and remain updated with current coding and billing regulations and compliance requirements + Oversight of self-pay processing and assist with monitoring on participant outstanding balances + Provide credentialing management support working with… more
- City of New York (New York, NY)
- …with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, and ... in receipt of services through one of the CASA offices, the Managed Long-Term Care (MLTC) Program, the Assisted Living Program (ALP), and the Field… more
- Healthfirst (NY)
- …Long-Term Care products, including but not limited to the Partial Capitation Managed Long-Term Care plan, the Medicaid Advantage Plus (MAP) and/or Programs ... or equivalent work experience. + Strong leadership and/or management experience in Managed Long-Term Care programs compliance or regulatory program at a… more
- EPAM Systems (New York, NY)
- As the **Head of Next-Generation Managed Services** at EPAM Systems, you will revolutionize our service delivery model by implementing AI-first strategies while ... leading multiple strategic client accounts. You'll architect next-generation managed services that integrate DevOps, SRE principles, and intelligent automation to… more
- Cook Medical (New York, NY)
- …sales exhibits* Maintain timely expense reports* Keep current on the managed health care environment* Educate customers, through conversations, ... hospitals, and outpatient facilities by establishing relationships with these health care providers. The District Manager will be customarily and regularly away… more
- AbbVie (New York, NY)
- …Commercial pharmaceutical industry experiences such as physician/account based selling, training, managed health care or marketing preferred. English language ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and… more