- Excelsior Orthopaedics Group (Amherst, NY)
- …Epic, or similar) is required. + Comprehensive knowledge of commercial, Medicare , Medicaid, and workers' comp billing procedures preferred. + Strong analytical ... skills to interpret EOBs, address denials, and resolve account discrepancies preferred. + Demonstrated attention to detail, time management, and organizational abilities. + Effective interpersonal and communication skills for interactions with patients and… more
- Highmark Health (Albany, NY)
- …make routine medical approval decisions. **This role is working within the Medicare and Medicaid line of business, supervising an outbound call center.** **ESSENTIAL ... RESPONSIBILITIES** + Manage the departmental operations and day-to-day functions. + Handle escalated calls from members, state agencies, providers and vendors. + Coach and counsel employees. + Prepare reports for various internal and external areas for trends… more
- Lakeview Health Services (Geneva, NY)
- …+ Assist with linkage to benefits to include but not limited to: + Medicaid/ Medicare + SSI/SSD + Public Assistance + Link individuals with community resources + ... Ensure "warm hand off" when making referrals to other services + Utilize service dollars (when available) to assist eligible individuals (SMI) in gaining access to or supporting participation in services where there is no other means of support for that access… more
- Saratoga Hospital (Saratoga Springs, NY)
- …excellence since 2004 + 4-Star Quality Rating under the US Centers for Medicare & Medicaid Services Hospital Compare Initiative + Commission on Cancer Accreditation ... + Breast Imaging Center of Excellence + CAP Accreditation + Age-Friendly Health System + Mission: Lifeline(R) - STEMI Receiving Center - Gold Plus + Get with the Guidelines(R) - Stroke Gold Plus Target: Stroke Honor Roll + Diagnostic Imaging Center of… more
- Cognizant (Albany, NY)
- …with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims + Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. + 1 year of ... Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Must be able to work with minimal supervision. + Good skills at problem resolution specifically related to healthcare… more
- New York State Civil Service (Norwich, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility.* If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments… more
- Heath System Services (Niagara Falls, NY)
- …medical necessity qualification, and prior authorization. + Maintain adherence to Medicare , Medicaid, and commercial payer standards. + Act as a resource ... for billing and coverage policy questions from team members. Technical Proficiency: + Utilize and oversee multiple ordering platforms and ERP systems. + Train team members on system use and ensure accurate data entry. + Collaborate with IT or system support… more
- Fresenius Medical Center (Bayside, NY)
- …+ HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification requirements within ... the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** +… more
- City of New York (New York, NY)
- …Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs including ... the Deferred Compensation Plan and NYCE IRA. In addition to negotiating collective bargaining agreements, OLR serves as a resource to agencies with regard to workforce labor issues and works with the Municipal Labor Committee (MLC) to pursue innovations in a… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more