- Humana (Albany, NY)
- …The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, ... Business Intelligence Engineer will be responsible for: + Researching state-specific Medicaid reimbursement methodologies for hospitals and facilities +… more
- City of New York (New York, NY)
- …access doctors, medication and other health care services at little or no cost. Medicaid Reimbursement Unit under the general direction of the -Director and/or ... and judgement, performs specialized administrative work supervising the functions of the Medicaid Reimbursement units who processes invoices for payment of… more
- City of New York (New York, NY)
- …(TPHI) Reimbursement Unit is responsible for the authorization of Medicaid reimbursement claims of consumers receiving public health insurance which ... premium payments to avoid insurance policy cancellation, interview, review, and process reimbursement claims for related Medicaid reimbursement out-of-pocket… more
- City of New York (New York, NY)
- …standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or services rendered to Medicaid ... OAS, County Demo Unit performs audits to assess the Medicaid Provider's compliance with laws, rules, regulations, and policies...compliance with laws, rules, regulations, and policies of the Medicaid program as set forth by the Departments of… more
- Elderwood (Liverpool, NY)
- …requests and appeals processes. + Manages NYS RUGs III case mix for Medicaid reimbursement . + Completes occasional travel between facilities and Elderwood ... with Medicare experience? Do you consider yourself an expert in assessment and reimbursement methodology? Elderwood at Liverpool wants to talk with you! RN - MDS… more
- Stony Brook University (East Setauket, NY)
- …and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of third party payer ... reimbursement and managed care contracts. + Experience investigating, reviewing and following-up on rejected, and/or denied inpatient and outpatient hospital claims. + Knowledge of CPT, HCPCs and ICD-10 coding principles. + Experience with Cerner Invision… more
- Stony Brook University (East Setauket, NY)
- …and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of third party payer ... reimbursement and managed care contracts. + Experience investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital claims. + Knowledge of CPT, HCPCs and ICD-10 coding principles. + Experience with Cerner Invision and/or… more
- Stony Brook University (East Setauket, NY)
- …and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of third-party payer ... reimbursement and managed care contracts. + Experience in utilizing insurance websites to check for eligibility and claim status. + Experience investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital claims. + Knowledge… more
- WMCHealth (Warwick, NY)
- …Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement + Works closely with the interdisciplinary team. + ... + Flexible Savings Account + Paid Time Off + Holidays + Tuition Reimbursement Apply Now External Applicant link Internal Applicant link Talent Community Search Jobs… more
- New York State Civil Service (Montrose, NY)
- …budgets, cash flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, ... This challenging opportunity requires competence in: i) preparing Medicare and Medicaid cost reports for healthcare facilities; ii) utilizing the Statewide Financial… more
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