- Stony Brook University (East Setauket, NY)
- …Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... Patient Accounting. + Experience in Insurance Verification. + Experience working in Medicare FSS DDE system. **Special Notes** **:** **Resume/CV should be included… more
- Tarrytown Rehabilitation & Nursing Center (Utica, NY)
- …resident, staff and family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State ... accordance with established acceptable time frames + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the SNF… more
- Sedgwick (Albany, NY)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
- Datavant (Albany, NY)
- …work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic ... or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. +… more
- Tarrytown Rehabilitation & Nursing Center (Tarrytown, NY)
- …Healthcare. The Accounts Receivable role will involve tasks such as: + Billing Medicare and Medicaid + Reviewing claims for accuracy + Appealing and correcting ... that may arise. Ideal Candidate + Already experienced in the field, with strong Medicare and HMO billing knowledge. + Experience with at least 2 years of PCC… more
- NASCO (Albany, NY)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on ... on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification and… more
- WMCHealth (Valhalla, NY)
- …accuracy of data on all documents and bills to third party billing companies, Medicare and Medicaid, as well as insurance denial review as appropriate. + Ability to ... Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility, Insurance denial review and overturn procedures. + Develop… more
- Sodus Rehab & Nursing Center (Middletown, NY)
- …progress notes and re-certifications per facility policy. + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State ... Participates in internal audits as directed + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the SNF setting… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Masters Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification Number (or PTAN). Eligibility ... criteria for NP requires National Certification through AANP or ANCC prior to hire. Current BLS certification through the American Heart Association or the American Red Cross is required. Preferred Qualifications: Experience with Pediatric Psychiatry… more
- WMCHealth (Hawthorne, NY)
- …in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA) in ... Medical Staff Office by identifying, initiating, monitoring, and maintaining Medicaid and Medicare enrollment requirements. + Ensure proper attention is given to all… more