- Insight Global (Syracuse, NY)
- …reviewing payor contracts to ensure contract fees are modeled accurately in the billing system and working with billing staff to identify variances in ... staff findings, and reports findings to leadership. Resolves complex physician professional billing issues in a timely manner. Leads and mentors revenue cycle… more
- Albany Medical Center (Albany, NY)
- …regarding managed care contracting, as well as the provision and reimbursement of medical services including, but not limited, to Medicare and Medicaid. + ... not limited to physician and hospital clinical leadership, legal, compliance, billing , finance, IT, case and utilization management, quality, credentialing, and… more
- Humana (Albany, NY)
- …Principal coordinates, implements, and manages oversight of the company's Medicare /Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... Operations encompasses critical functions including care coordination, quality measurement, billing , claims processing, and customer service, each essential to… more
- The Arc Wayne (Newark, NY)
- …Generous Paid Vacation Time + Sick Time + 10 Paid holidays + Insurance - Medical , Dental and Vision + Tuition Reimbursement + Paid Training + Bereavement Leave + ... provision to individuals. + Responsible for timely and accurate billing of article 16 services. Acts as liaison to...are identified as having a potential to bill to Medicare , require enrollment as a Medicare provider… more
- Catholic Health (Buffalo, NY)
- …in an appropriate manner in credentialing matters + Must remain confidential on all Medical Staff matters + Create individual and group NPIs as needed + Create group ... COI from clients and upload into CAQH + Complete Medicare and Medicaid re-validations when needed + Track when...phone call from Insurances, providers, client managers, practice and billing staff + Respond to numerous emails from clients,… more
- Weill Cornell Medical College (New York, NY)
- …in the practice's standard of operations policies regarding patient care and billing related activities. + Identifies areas of improvement for the front desk, ... experience using computerized appointment scheduling systems (EPIC preferred) and/or electronic Medical Record (eMR) system (ideally EPIC-Care). + Knowledge of CPT,… more
- University of Rochester (Rochester, NY)
- …organizes and conducts operations that affect the revenue cycle, such as billing , collections, and payment processing. Recommends and implements processes to meet ... revenue cycle goals in collaboration with medical practices. Conducts related training, monitoring, analysis and reporting...relevant to the area. + Research accounts held from billing and reviews flagged accounts and research documentation to… more
- Catholic Health Services (Smithtown, NY)
- …care center; 296-bed not-for-profit community hospital and a 60,000 square foot medical office building. Our nurses, physicians and support staff are devoted to ... including Minimum Data Set (MDS) assessments and other relevant documentation. + Coding and Billing : Assist in the accurate coding and billing of resident care… more
- Rochester Regional Health (Rochester, NY)
- …either in person or by telephone to collect demographic, financial, and medical information + Performs correct name inquiry and identifies patient according to ... of patient including address, phone number, and employer + Collects medical information to include patient complaint + Explains consent information, obtains… more
- Molina Healthcare (Buffalo, NY)
- …* Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am -...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current… more