- Helio Health Inc. (Syracuse, NY)
- …position and also take into account information provided by the hiring manager and program . Job LocationsUS-NY-Syracuse Category Accounting/Finance Position Type ... concern arises. + Communicates insurance trends and unresolved appeals to the billing manager for further action. + Demonstrates adaptability and accept change in a… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …community-based organization meetings as required/complement or collaboration with Community Engagement Program Manager . * Gain Subject Matter Expertise (SME) ... On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market -… more
- Elevance Health (East Syracuse, NY)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Westchester Jewish Community Services (White Plains, NY)
- …administration to resolve outstanding balances. + Proactively identifying and alerting manager /administration of problem accounts to prevent loss of revenue. + ... process. + Developing and presenting reports related to the Receivables. + Advising manager of any major issues or changes. + Ensuring accuracy and timeliness in… more
- Northern Rivers Family Services (Albany, NY)
- …Description As an Accounts Receivable Medical Billing Associate, you will bill for program services and collect funds on aged accounts receivable for Northern Rivers ... and affiliates. You will report to the Revenue and AR Manager and work onsite. Responsibilities: + Perform billing for a variety of programs governed by contract or… more
- Bassett Healthcare (Greene, 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 ... work with their member to achieve self-sufficiency and graduation from the program by providing education and assistance in developing skills to navigate services… more
- City of New York (New York, NY)
- …and administration of New York State Department of Health (NYSDOH) Medicaid and hospital discharge data and NYS-Statewide Health Information Network-New York ... timely data deliverables, respective data use authorizations. -Supervise SPARCS, Medicaid and electronic health record stewards and Vital Data coordinator… more
- Centene Corporation (New York, NY)
- …related CMS or state regulatory filings. + Understanding of Medicaid /Medicare payment structures, premium groups, regions, category-of-service mapping, and encounter ... accuracy of reporting. + **Healthcare Managed Care :** + Understanding of Medicaid managed care, MLTC, MAP, Medicare Advantage, and cost-sharing arrangements. +… more
- Elevance Health (New Hyde Park, NY)
- …performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an ... limited to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling potential beneficiaries ... by explaining program benefits in a manner that is compliant with...manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The… more