- Stony Brook University (East Setauket, NY)
- …reimbursement methodologies. + Knowledge of third party payer reimbursement and managed care contracts. + Experience investigating, reviewing and following-up ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a... **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient… more
- Resource Center for Independent Living (Utica, NY)
- …of ISPs. + Work locally to establish mutual referral systems with Managed Care Organizations, Performing Provider Systems, hospitals, nursing homes, service ... with applicants and/or their Housing Specialist , Transition Specialist , Nursing Home Discharge Planner, Care Manager..., Transition Specialist , Nursing Home Discharge Planner, Care Manager (CM), natural support, or advocate ensuring a… more
- New York State Civil Service (Norwich, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... and recording individual progress. May also instruct and observe direct care staff in employing appropriate strategies with individuals consistent with their… more
- Sharecare (Albany, NY)
- …Strong written, verbal and interpersonal communication skills. + Knowledge of the healthcare, managed care and/or fitness industry. + Proficiency using MS Office ... individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com… more
- Intermountain Health (Albany, NY)
- …cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, preferred - ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety of...hourly rate dependent upon experience. $24.00 - $36.54 We care about your well-being - mind, body, and spirit… more
- New York State Civil Service (New York, NY)
- …a hearing request. This includes identifying the appropriate local district location, managed care organization, or State entity.* Fields compliance complaints, ... Yes Agency Temporary and Disability Assistance, Office of Title Fair Hearings Specialist 1 Spanish Language (NY HELPS) Occupational Category Legal Salary Grade 14… more
- Datavant (Albany, NY)
- …payor guidelines. * **What you will bring to the table:** + Two (2) years managed care experience in UM/CM/CDI Department preferred + Knowledge of CMS, State ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health… more
- New York State Civil Service (Commack, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... Residential Habilitation documentation for audits.* Establish working relationships with Care Managers, clinicians, day/work programs to ensure Life Plan meetings… more
- New York State Civil Service (Amenia, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... achieve their valued outcomes.* Collaborates with individuals, family members, advocates, care managers, and service providers to determine strategies for service… more
- Molina Healthcare (Syracuse, NY)
- …requests from outside agencies. **Required Qualifications** * At least 2 years of managed care experience in a call center, appeals, and/or claims environment, ... program(s) proficiency. **Preferred Qualifications** * Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other… more