- Elderwood (Buffalo, NY)
- Salary Starting at $18.00 / hour Overview The Woodmark Pharmacy Billing Department in Williamsville, NY is seeking an experienced, detail-oriented Accounts Review ... of past due accounts for 3 Woodmark Pharmacy locations. + Review outstanding private, Medicaid pending and third party balances per AR Aging. + Daily call past due… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of the department. + Provides expertise and assistance relative to provider billing and payment guidelines consistent with CPHL policies and procedures and State ... Experience Required: 2+ years of claim processing experience with a Medicaid /Medicare Health Plan. Preferred: Experience in health insurance product environment.… more
- WMCHealth (Valhalla, NY)
- …reimbursement formulas/calculations in accordance with payment methodology (DRG, Medicare/ Medicaid , Managed Care - Commercial, etc,). Validates payment rate ... to actual payments utilized for obtaining correct cash payments including re- billing managed care carriers and measurement performance. + Use various reporting… more
- WMCHealth (Suffern, NY)
- …reporting systems, ensuring compliance with procedures and policies relating to patient billing and reporting to regulatory agencies such as Center for Medicare and ... Medicaid . * Prepares monthly income statements by collecting and consolidating accounting data. * Assists with preparation of yearly operating and capital budget. *… more
- Weill Cornell Medical College (New York, NY)
- …in the practice's standard of operations policies regarding patient care and billing related activities. + Identifies areas of improvement for the front desk, ... + Working knowledge of third party payor reimbursement - Medicare, Medicaid , Managed Care and commercial insurance. **Licenses and Certifications** **Working… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: + Works in conjunction with billing office to ensure that appropriate referrals or authorizations have been obtained and documentation completed via ... + Schedules outside services as requested by the physician for the patient ( Medicaid cab, interpreter services, etc.) + Responsible for review of the procedural… more
- Mohawk Valley Health System (Utica, NY)
- …Managers and Attending Physicians to align on the level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) ... variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as a liaison… more
- Stony Brook University (Commack, NY)
- …External Roster Review, Monthly Expirables Management Review, Service Location Review, Billing Address Review. + Maintain vital relationships with MCO's by ... of a managed care organization or payer. + Direct experience with NYS Medicaid and Medicare enrollment and recertification. + Experience setting up and managing the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …for refunds. You'll work different reports out of Meditech, screen patients for Medicaid eligibility by looking on EPACES. You'll distribute mail, work returned mail ... + Posts payments using KeyBank Back Office + Familiar with payers and billing guidelines + Working knowledge of Passport and patient eligibility verification +… more
- Hawthorne Foundation Inc. (Hawthorne, NY)
- …Development for School Staff and Parents, Guardians, and Caregivers. + Complete billing and session note documentation in a timely manner, in compliance with ... company policies and Medicaid regulations. + Complete quarterly progress notes and prepare Annual Reports and Proposed IEP Goals for each student's Annual Review… more