- Elevance Health (East Syracuse, NY)
- …Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract ... + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience; or any combination of education and experience which would… more
- Elevance Health (East Syracuse, NY)
- … Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract ... a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and experience, which would… more
- Elevance Health (East Syracuse, NY)
- …Requirements:** + Requires a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and ... ** Audit & Reimbursement III** **Location** : This role...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- Catholic Health Services (Rockville Centre, NY)
- …on all other reimbursement related duties as assigned. Answer audits of GME programs by Medicare Audit Contractors and KPMG for New York State. Answer audits of ... IRIS and GME software platforms (eg, MedHub, New Innovations) Knowledge of Medicare GME reimbursement regulations Familiarity with ACGME, CMS, and other GME… more
- Elevance Health (East Syracuse, NY)
- … Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II** will support our Medicare Administrative Contract ... ** Audit & Reimbursement II** **Location:** This role enables...(MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department… more
- Healthfirst (Enfield, NY)
- …implementation throughout the year. + Assist with corporate initiatives related to Medicare quality or STAR ratings- ie HRAs/FPL/MSP. + Successfully pass audit ... (educational and marketing) exams. + Additional duties as assigned. **Work Location** **The Outside Sales Rep will work at locations they develop within their designated territory, or they may need to visit prospects homes.** **Minimum Qualifications &… more
- CenterLight Health System (NY)
- …care setting is strongly preferred. + Experience in claims appeals and/or claims audit within managed care setting (Medicaid and/or Medicare ). + Claims ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play a pivotal role in...PPS is strongly preferred. + Knowledge of Medicaid and Medicare benefits, enrollment and billing, and provider contracting is… more
- Catholic Health (Buffalo, NY)
- …CHS Outpatient Coding and Private Client Medical Coding and Chart Audit Services. Responsibilities: SKILL AND EDUCATIONAL REQUIREMENTS (MINIMUM): The successful ... Clinic and CPT Assistant as resources + Requires extensive knowledge of Medicare and Commercial Payers coding and billing policies. They will ensure documentation… more
- St. James Hospital (Hornell, NY)
- …+ Collaborates with the Controller to assure the completion of the private, Medicare , and all other financial-related audit activities. + Coordinates the ... operations of the Audit Committees of the Hospital Board of Directors and St. James Hospital Foundation. + In collaboration with URMC Payer Contracting and Reimbursement department, negotiates payment/contract agreements with third-party payers and assures… more
- New York State Civil Service (NY)
- …research on the organization to be audited; * assists in establishing the scope of audit by analyzing and determining areas for audit , and timeframe to be ... examined; * assists in planning audit activities, including specific audit tasks, and...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more