- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing ) Analyst who will primarily be responsible for tracking, trending, and… more
- Cognizant (Albany, NY)
- …following benefits for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off . ... Eastern Time **About the role:** Asan AR Physician Hospital Billing Follow Up, you will be responsible for resolving...knowledge of RARC and CARC codes. . Expertise in Medicare , Medicaid, Managed Care, and Commercial payer processes. .… more
- SUNY Upstate Medical University (Syracuse, NY)
- … billing , payment posting, collections and follow up, denials management, insurance questions and billing audits. This position will also significantly ... to ensure contract fees are modeled accurately in the billing system and working with billing staff...least six years of experience within healthcare industry, including medical reimbursement and insurance for physician practice,… more
- FlexStaff (New York, NY)
- …Senior Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our ... * 5+ years of experience in medical billing and claims processing, and insurance follow-up....and accurately submit claims to both private and public insurance carriers, including Medicare , Medicaid, and commercial… more
- Stony Brook University (Stony Brook, NY)
- … processes and troubleshooting billing questions according to NYS DOH, Medicare , Medicaid and patient insurance regulations. d. Monitors the Reference Lab ... and outpatient registration processes. These functions include knowledge of insurance providers, billing codes, order entry, Sunquest...which include but are not limited to ICD-10 CM billing codes, medical necessity and Medicare… more
- Mount Sinai Health System (New York, NY)
- …in accounting or business related field; Bachelor?s degree preferred + 4 years of insurance billing and collection procedures in a health care environment + ... Excellent written, verbal and interpersonal skills + Demonstrated knowledge of insurance billing and collection procedures and CPT and ICD-9 coding **Preferred… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of ... Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical ...detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case… 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 ... experience. This role is responsible for supporting the Stars strategy within Insurance Operations, serving as a subject matter expert for Stars-related initiatives,… more
- University of Rochester (Rochester, NY)
- …Accounting, Consumer Collections experience, or Certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist ... follow up. + Bills primary and secondary claims to insurance . 15% Identify and clarify billing issues,...audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments… more
- Mount Sinai Health System (New York, NY)
- …Epic. + Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid, etc.), managed care contracts and ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will...compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk… more