- Calvary Hospital (Bronx, NY)
- …in the ongoing marketing of programs and services provided by Calvary Hospital . Works cooperatively with other departments, provider referrers and managed ... by Calvary Hospital . Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital . Oversees the appeals… more
- Cognizant (Albany, NY)
- We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United ... Monday to Friday - Eastern Time **About the role:** Asan AR Physician Hospital Billing Follow Up, you will be responsible for resolving aged hospital… more
- Trinity Health (Albany, NY)
- …Access or Patient Accounting for hospital registration and / or hospital reimbursement services Obtain National certification in HFMA CRCR and/or NAHAM ... on patient accounts and works with patients or their representatives to provide financial assistance or secure payment. **Essential Functions** **Our Trinity Health… more
- WMCHealth (Valhalla, NY)
- Financial Reimbursement Specialist - On Site Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: ... of Financial Planning and the Director of Budget & Reimbursement in third party analysis and preparation of internal...+ Gathers data in preparation of Annual Medicare & Medicaid Cost Reports. + Aid in the preparation of… more
- Catholic Health Services (Smithtown, NY)
- …for improvement or appeal. + Regulatory Compliance: Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare, Medicaid ) and ensure ... Siena Nursing and Rehabilitation and St. Catherine of Siena Hospital are proud members of Catholic Health and have...to offer care to those in need and to provide a spirit of mutual respect while upholding our… more
- University of Rochester (Rochester, NY)
- …to access for patients. Remains knowledgeable of private payer, Medicare, and Medicaid structure systems and reimbursement processes. Respond to all patient, ... and within the required timeframes. + Documents and tracks the status of provider enrollment applications for Medicaid , Medicare, and some Commercial Payers that… more
- Catholic Health Services (Rockville Centre, NY)
- …complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare/ Medicaid reimbursement , managed care contracts, and healthcare finance. Key ... cost reporting, or financial analysis. + Strong knowledge of Medicare and Medicaid regulations, reimbursement methodologies, and healthcare payment systems. +… more
- University of Rochester (Brighton, NY)
- …Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and New York State ... Medicaid ). + Manage disputes, risks and projects related to...to the Office of Integrity and Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare… more
- Guidehouse (New York, NY)
- …and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position is 100% ... for charge reconciliation audits + Escalate departments noncompliant with policy and provide action plan when needed + Responsible for the daily resolution of… more
- University of Rochester (Rochester, NY)
- …and from Strong Hospital . Differentiate appropriate FAO to cover the costs, provide private insurance info to third party and send requests to SMH Accounts ... the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Provide day-to-day information and direction to the Program Administrator,… more