- Mount Sinai Health System (New York, NY)
- …credentials. + Abide by all Federal and state regulations, as dictated by CMS, Medicaid , and other third party payers regarding reimbursement for the facility + ... of diagnoses and procedures. The coded information is utilized for reimbursement purposes, data retrieval, education, to support medical research activity,… more
- Mercy Haven Inc. (Islip Terrace, NY)
- …every other Thursday | Full Time | Medical, Dental, Vision, Health Reimbursement Account, PTO, Basic Life, Supplemental, STD, LTD, Tuition Reimbursement , ... long-range service plans + Assists in securing and maintaining entitlements: SSI/SSD, PA Medicaid , SNAP, Section 8 housing, etc. + Conducts weekly home visits and… more
- Molina Healthcare (Buffalo, NY)
- …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue ... attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate… more
- National Health Care Associates (Melville, NY)
- …to personalized resident care plans and ensures the capture of clinical reimbursement for services provided. Fulltime; Monday - Friday** Weekly pay!** **Key ... by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of...the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the… more
- Albany Medical Center (Albany, NY)
- …selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is ... unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities + Use a computerized encoding system to… more
- Kaleida Health (Buffalo, NY)
- …assumes the responsibilities as delegated by the Director of Clinical Reimbursement and Quality and/or the Administrator.This position also pro-actively provides ... reimbursement planning and is responsible for key decision-making related to Medicare, Medicaid , and other Third Party Payors to ensure payment. Provides… more
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional ... Monitor State and Federal policies, regulations and legislation affecting contract reimbursement . 5. Attends monthly payer, client and accounts receivable meetings.… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) *Understanding of Hospital formulary with guidance of RSD and NAM/NAD ... fulfill customer needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist) *Gather and provide customer insights to Marketing teams for… more
- Mount Sinai Health System (New York, NY)
- …third party payer plans and how they are processed, of medication reimbursement , including the prior authorization process, proficiency in the procurement of ... financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related billing… more
- CVS Health (Albany, NY)
- …and DME claims and invoices to governmental and commercial insurance companies for reimbursement for our patients' insurance claims. In this role, you will ensure ... with commercial insurance companies and/or governmental payers, including Medicare and Medicaid . **Preferred Qualifications** + Strong attention to detail with a… more
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