- WMCHealth (Valhalla, NY)
- Financial Reimbursement Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Revenue ... reimbursement formulas/calculations in accordance with payment methodology (DRG, Medicare/ Medicaid , Managed Care - Commercial, etc,). Validates payment rate… more
- Albany Medical Center (Albany, NY)
- …for sequencing diagnoses and procedures by following the ICD-10-CM/PCS and Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal ... codes following the ICD-10-CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or… more
- 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
- J&J Family of Companies (Buffalo, NY)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Glens Falls Hospital (Glens Falls, NY)
- …team is looking to help you broaden your career horizons at Glens Falls Hospital ! Come join our team of medical billing experts as the Accounts Receivable ... for a hybrid work environment ** *The Glens Falls Hospital Impact* *Mission* Our Mission is to improve the...Utilize all available tools to pursue accurate and timely reimbursement including internal tools, as well as payer meetings,… more
- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Provide day-to-day information and direction to the Program Administrator, ... initiative in the collection of data along with, financial and reimbursement data for operational management, performance metrics, identification of revenue trends… more
- Stony Brook University (Commack, NY)
- …and reimbursement escalations. + Ensure compliance with Medicare and Medicaid reimbursement methodologies and stay current on commercial and government ... + Oversee and direct the negotiation, execution, and administration of all hospital , physician, and ancillary Managed Care contracts. + Maintain accurate, up-to-date… more
- Stony Brook University (East Setauket, NY)
- …Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert knowledge of ... Specialist** will act as an operational leader in the Hospital 's Business Office to analyze, track, and pursue the...volumes and staffing are aligned. + Audits staff work; provide education on best practice. + Supervises junior staff.… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Pfizer (New York, NY)
- …Federal contracts include FSS, PHS 340B, CDC, Strategic National Stockpile and Medicaid Supplemental agreements. **ROLE RESPONSIBILITIES** + You will be expected to ... working knowledge of Managed Care (Commercial, Medicare Part D, Medicaid , Healthcare Insurance Exchanges) Specialty Contracting channels (Specialty Pharmacy,… more
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