- ConvaTec (Massapequa, NY)
- …Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid , commercial and private insurance payers. Verifies accuracy and completeness ... of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims. + Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance… more
- City of New York (New York, NY)
- …unit is charged with the review of Job Center case records and Medicaid information to discover ways to identify and process complex reimbursement claim adjustments ... based on income support expenditures. - Perform case audits for revenue protection and enhancement reviews and analyze Safety Net Cash Assistance (SNCA) cases with children, in order to ensure that Federal financial participation is maximized, and to reduce… more
- Catholic Health (Buffalo, NY)
- …with patients. + Familiarity with insurance plans; such as Medicare, Medicaid , private & commercial insurance preferred. + Familiarity with payer eligibility ... tools preferred. + Possess excellent/effective communication/interpersonal skills + Organizational skills, attention to detail and follow through a must + Has the ability to maintain composure when interacting with a wide variety of customers and situations +… more
- Healthfirst (NY)
- …within Regulatory Affairs team. + Communicates and coordinates any New York Medicaid Choice (NYMC) to internal departments and ensures that all questions and ... inquiries have been responded to. + Provides support to all internal stakeholders during the annual Medicare Go to Market project in preparation for the Medicare Annual Enrollment Period (AEP). + Contributes to the development of the Regulatory Affairs… more
- Mount Sinai Health System (Jamaica, NY)
- …with the National Commission on Certification of Physician Assistants -DEA number - Medicaid number -Ability to remain positive and supportive under high stress ... situations -Excellent written and verbal communication skills -Professional in dealing with confidential information -Builds and maintains supportive relationships with diverse groups including nursing and physician colleagues, hospital administration, other… more
- Apicha Community Health Center (Jackson Heights, NY)
- …Apicha as adopted by Apicha from time to time. + Participate in Medicare, Medicaid and such other third-party health insurance plans as determined by Apicha from ... time to time. + Assign to Apicha any and all billings and collections for your services and rights to any incentive program payments relating to your services or use of electronic systems. + Refrain from providing outside services unless specifically permitted… more
- Unity House (Troy, NY)
- …systems and Electronic Health Records preferred. Familiarity with OMH programming and Medicaid billing preferred. Benefits : Generous time off benefits including 13 ... paid days off in your first year for full time employment (increases every year); and 56 hours of NYS Sick Leave; and 10 paid holidays plus 2 floating holidays; as well as major medical leave. Medical/dental/vision/life insurance, and 403b contributions after… more
- North Country Family Health Center (Watertown, NY)
- …registration. Is not excluded to participate as a provider in the Medicaid and Medicare Programs. Strong interpersonal and communication skills with compassion, and ... high level of service for our patients, parents, and staff; at least two years of experience providing medical (family health) care to patients and families; experience with supervision and/or training to clinical staff. Benefits: Group health/dental/vision,… more
- Datavant (Albany, NY)
- …and compliant onboarding and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard Data Specifications:** Develop ... and maintain standardized data specifications for Retrospective Coding Products + **Data Type Additions:** Prioritize new data types to enhance AI-driven coding accuracy + **Data Integration** + Lead efforts in collaboration with the Retrieval Product team to… more
- Unity House (Troy, NY)
- …Proficient with Microsoft Office and other web-based programs. Prior experience with Medicaid delivery system preferred but not required. Valid and clean New York ... State Driver License. Must have reliable transportation. Must have the ability to work in a fast-paced environment. Benefits : + Generous time off benefits including 13 paid days off in your first year for full time employment (increases every year) + 56 hours… more