- Rochester Regional Health (Rochester, NY)
- …reporting tools highly desired. + May need previously experience in CMS, Medicaid/ Medicare billing , and other regulatory processes. EDUCATION: LICENSES / ... - 4:30PMSUMMARY Participates and supports oversight of office processes of the Medical Management Department to maintain daily operations. Oversees the daily review… more
- KPH Healthcare Services, Inc. (Camden, NY)
- …Seeks education/training or assistance with areas of + Stays current on LCDs, Medicare billing and dispensing guidelines + Responsible for completing all ... will play an active role in compliance to meet insurance guidelines while promoting a healthy sleep lifestyle. +...of one year of experience in a DME (Durable Medical Equipment) field or setting with equivalent **Physical Requirements:**… more
- KPH Healthcare Services, Inc. (Camden, NY)
- …use of + Seeks education/training or assistance with areas of + Stays current on Medicare guidelines for billing and dispensing as well as LCDs + Responsible for ... will play an active role in compliance to meet insurance guidelines while promoting a healthy sleep lifestyle. +...of one year of experience in a DME (Durable Medical Equipment) field or setting with equivalent **Physical Requirements:**… more
- Catholic Health Services (Smithtown, NY)
- …level is highly desirable. Skills , Knowledge or Abilities : Knowledge of Medicare , Medicaid and insurance required. Must have troubleshooting skills and the ... 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… more
- Amgen (New York, NY)
- …group medical , dental and vision coverage, life and disability insurance , and flexible spending accounts + A discretionary annual bonus program, or ... closely with Organized Customer Team Regional Account Executives and Regional Medical Liaisons in shared accounts + Coordinates with Reimbursement Access Value… more
- Garnet Health (Harris, NY)
- …we invite to make your career home with us at Garnet Health Medical Center Catskills. Responsibilities Supervises the daily operation of the Patient Access ... in assuring hospital compliance with Advanced Beneficiary Notification (ABN), Medicare as secondary payer questionnaires (MSQP), Advanced Directives, Patient Bill… more
- Centene Corporation (New York, NY)
- …processes. + Research and analyze provider reimbursement methodologies and regulatory medical coding requirements to ensure alignment with state requirements. + ... 5+ years of provider reimbursement and analysis experience. Experience with Medicare and Medicaid reimbursement methodology. Managed care experience and provider … 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 ... in healthcare revenue cycle with specializing in hospital claims. *Expertise in Medicare , Medicaid, Managed Care, and Commercial payer processes. *Strong grasp of… more
- WMCHealth (Suffern, NY)
- …reporting systems, ensuring compliance with procedures and policies relating to patient billing and reporting to regulatory agencies such as Center for Medicare ... Hospital in Suffern, NY, is a 286-bed hospital providing emergency, medical , surgical, obstetrical/gynecological and acute-care services to residents of Rockland and… more
- Highmark Health (Albany, NY)
- …authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. ... specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as...across multiple states. They must also be familiar with Medicare drug benefit design offerings that may differ by… more