- FlexStaff (Chappaqua, NY)
- …feedback, and performance management. Qualifications: - Minimum of 3-5 years of experience in medical insurance billing and claims management, with a focus ... Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for...at team management, and have deep expertise in healthcare insurance billing , this is your chance to… 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
- 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
- Humana (Albany, NY)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience ... clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare… 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
- 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
- Charles Evans Center (Bethpage, NY)
- …supervisor on billing issues + Monitor provider credentialing with Medicaid, Medicare , and commercial plans + Assist with review and negotiation of payer ... Patient Accounts Receivable Billing Manager Schedule: Full-Time Monday-Friday Salary: $100,000-$110,000/year Location: Bethpage, NY (Hybrid Schedule) The Charles… more
- WMCHealth (Poughkeepsie, NY)
- …Accounting Clerk processes insurance claims to third party health carriers for billing of medical services provided to patients at Westchester Medical ... compassion. Special Requirements: Knowledge of Patient management System(s), payer websites, medical terminology, Medicare medical necessity and commercial… more