- Heath System Services (Niagara Falls, NY)
- …and manage the Intake team to ensure accurate and compliant order intake, billing , and insurance verification. This role requires strong technical skills to navigate ... Ensure timely and accurate handling of incoming orders. + Billing and Insurance Compliance: + Ensure all orders meet...qualification, and prior authorization. + Maintain adherence to Medicare, Medicaid , and commercial payer standards. + Act as a… more
- Insight Global (Syracuse, NY)
- …reviewing payor contracts to ensure contract fees are modeled accurately in the billing system and working with billing staff to identify variances in ... staff findings, and reports findings to leadership. Resolves complex physician professional billing issues in a timely manner. Leads and mentors revenue cycle… more
- Stony Brook University (East Setauket, NY)
- …will support day-to-day business functions including but not limited to: billing , claims analysis appeals, follow-up, financial assistance and customer service. ... and coding issues. + Process appeals. + Liaise with third party billing and collection agencies. + Identify issues and patterns with claims/insurance companies… more
- Mohawk Valley Health System (Utica, NY)
- …information. + Address claim denials, errors, or discrepancies in collaboration with the billing department. + Keep current in Medicare, Medicaid and insurance ... accurate patient data collection, efficient scheduling, chart documentation, timely billing processes, and the onboarding and training of new administrative… more
- Cardinal Health (Albany, NY)
- …and manages compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This ... documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written reports of audit… more
- AccentCare, Inc. (Brooklyn, NY)
- …Verification process, in accordance the New York State Office of the Medicaid Inspector General (OMIG). Review Conflict of Hours reports and investigate incidents ... and related reporting functions. + Conduct weekly processing of billing performed in a timely manner. Verify accuracy of... performed in a timely manner. Verify accuracy of billing rates and interface with referral sources, payers, and… more
- Molina Healthcare (Rochester, NY)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid /Medicare/Marketplace health coverage audit policies and be able to apply them in ... providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare providers that bill Medicaid… more
- The Arc Erie County NY (Tonawanda, NY)
- …or TSSLD). Limited license may be required for CFY candidates (directly billing Medicare). ASHA certification preferred. See our full Job Description listed below: ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
- Bassett Healthcare (Oneonta, NY)
- …What you'll do The Community Health Navigator I role provides quality care to Medicaid recipients eligible for Health Home services. In this role a Navigator I is ... of Care Plans, Assessments, updated documentation, home visits and billing . + Complete outreach for assigned members per the...clients. + Ensures all members information is entered into Medicaid Health Home data systems. + Compliance with policy,… more
- Catholic Health (Buffalo, NY)
- …annual COI from clients and upload into CAQH + Complete Medicare and Medicaid re-validations when needed + Track when Medicare and Medicaid re-validations ... phone call from Insurances, providers, client managers, practice and billing staff + Respond to numerous emails from clients,...Respond to numerous emails from clients, insurances, office and billing staff + Research requests from office and … more