- Elevance Health (East Syracuse, NY)
- …in accordance with Government Auditing Standards (GAS). The Auditor II will gain experience on Medicare Part A Audit and Reimbursement as part of our Medicare ... ** Audit & Reimbursement II** **_Location:_** This role enables...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- 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
- 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …be accountable for a specific area of business, such as specialty drugs, Medicare drug, rebate management, audit functions, etc. + Demonstrate exceptional ... The pharmacist supports all of our lines of business which include Medicare , Commercial, Exchange (Marketplace) and Medicaid. The focus of the UM Pharmacist… 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