- Humana (Albany, NY)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looks for long term improvements of encounter submission processes. Understands… more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- …relative to the evaluation, processing, and handling of Presumptive Medicaid (PEP/MAPE), Presumptive Eligibility Family Planning Benefit Program (PEFPBP), and ... reinstatements on a consistent basis as determined by Health Center Operations and Finance through the annual budgeting process + Trains and evaluates health center… more
- Robert Half Accountemps (New York, NY)
- …and resolving medical claim denials, ensuring accuracy and compliance with Medicaid billing standards. This is an excellent opportunity for detail-oriented ... claim denials to identify errors or discrepancies. * Resubmit claims under Medicaid guidelines to ensure compliance and accuracy. * Utilize medical billing software,… more
- City of New York (New York, NY)
- …real property liens on primary residences of recipients to obtain reimbursement of Medicaid or Cash Assistance. The unit also processes all inquiries coming into the ... unit and calculates and asserts Medicaid liens on behalf of the agency. L&R is...A master's degree from an accredited college in economics, finance , accounting, business or public administration, human resources management,… more
- The Institute for Family Health (New Paltz, NY)
- …FQHC/Article 28, Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile and maintain records, statistics and ... dates of service are billed and/or rebilled to appropriate responsible party (ie Medicaid , Insurance Carrier or Self Pay). This review process would include but… more
- Access: Supports For Living (Middletown, NY)
- …order to maximize revenues. Additionally, the Senior Billing Specialist will assist Finance in maintaining the financial data required for revenue management report ... payers' portals. + Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid , Medicaid Managed Care and other payers' billing regulations for all programs.… more
- Humana (Albany, NY)
- …business results across the CenterWell segment, both directly and through the Finance teams of each of the individual CenterWell businesses. This associate will ... to the enterprise. Key Responsibilities + Responsible for managing CenterWell level finance projects and / or deliverables that require input from multiple… more
- Molina Healthcare (NY)
- …Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and ... impact of provider reimbursement changes + Provide data driven analytics to Finance , Claims, Medical Management, Network, and other departments to enable critical… more
- Callen-Lorde Community Health Center (New York, NY)
- …timely third-party revenue collection, including insurance verification and Medicaid authorizations. + Overseeing hiring, training, scheduling, and performance ... integrity of electronic and paper billing systems. + Collaborating with providers, finance , patient access services, and payers to resolve operational issues quickly… more
- Molina Healthcare (Syracuse, NY)
- …evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has decision-making accountability for ensuring ... influence across multiple organizational functions - Payment Integrity, Claims, Encounters, Finance , and Actuarial + Proven experience in managing complex projects,… more