- Albany Medical Center (Albany, NY)
- …not limited to physician and hospital clinical leadership, legal, compliance, billing , finance, IT, case and utilization management, quality, credentialing, and ... reimbursement of medical services including, but not limited, to Medicare and Medicaid . + Proven skills and knowledge relating to the implementation and management… more
- Springbrook (Oneonta, NY)
- …supervision to Shared Day Habilitation Assistants. To ensure that training of staff, billing and provision of services comply with OPWDD and Medicaid regulation, ... Springbrook policies and procedures, and meets the Springbrook standard of excellence, incorporating best practices and a person centered approach which respects individual rights, choices and needs. This Includes maintaining a daily schedule of program… more
- University of Rochester (Albany, NY)
- …primary and secondary claims to insurance. + Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. Assists ... reviews/resolutions and all audits. Coordinates response and resolution to Medicaid and Medicare credit balances. Requests insurance adjustments or retractions.… more
- LIFEPlan CCO NY (Ithaca, NY)
- …+ Complete all required service documentation with stated timeframes. Ensure all billing critical documentation is present and valid prior to the submission of ... and Community Based (HCBS) waiver. + Identify and access benefits and entitlements ( Medicaid , Social Security, SNAP, etc.) when a member is eligible. Ensure existing… more
- Walgreens (Valhalla, NY)
- …Fully abides to all compliance policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including ... Medicare, Medicaid , and all other third-party payers, as well as the facilitating of prior authorizations on behalf of prescribers. **Operations** + Works with the… more
- Bassett Healthcare (Cooperstown, NY)
- …national) and external relationships (wholesalers, manufacturers, contract pharmacies, split- billing software vendors, employee benefit pharmacy benefits managers ... affect the 340B Program, including, but not limited to, HRSA/OPA rules and Medicaid changes. + Develops and implements consistent 340B program processes for new… more
- Mount Sinai Health System (New York, NY)
- …environment of care, medical records, patient confidentiality, staff/patient relations, and billing . Insures compliance with all applicable MSBI and OTP policies and ... with OTP policy and procedure 21. Insures that Financial Counselors see Medicaid eligible patients. 22. Inspects and evaluates the physical condition of clinic… more
- 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
- Trinity Health (Albany, NY)
- …CHAA required within one (1) year of hire. Understanding of basic billing and coding. **Additional Qualifications (nice to have)** Bachelor's degree or advanced ... of federal or state government agencies including but not limited to Medicare, Medicaid , VA or Charity Care programs, or patient management and healthcare accounts… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... productivity, compliance and profit/loss reports + Analyzes revenues to identify collection problems, billing issues and other trends. + May be well versed and take… more