- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** * Serves as … more
- Highmark Health (Albany, NY)
- …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must fully… more
- Public Consulting Group (Albany, NY)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… 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 ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- Molina Healthcare (NY)
- JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely ... implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules… more
- Mohawk Valley Health System (Utica, NY)
- Billing Analyst - Part Time - Days Department: BILLING CLAIMS - VNA Job Summary The Billing Accounts Receivable Analyst is responsible for processing all ... VNA/Home Care Services claims to primary and secondary payers promptly and accurately...financial stability within the organization. Experience in billing Medicare, Medicaid , Commercial Insurance, HMOs, and Worker's Comp/No Fault is… more
- Catholic Health Services (Rockville Centre, NY)
- …and annual CFR & CBR reports and requests. + Prepare and review OASAS/OMH monthly claims and support County audits. + Medicaid DSH Audit preparation. + Prepare ... Health was named Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate Finance department, and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Analyst (Data Science Analyst I) collaborates with stakeholders from across the organization to develop sophisticated ... care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a...Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements,… more
- Molina Healthcare (Yonkers, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more