- Weill Cornell Medical College (New York, NY)
- …schedules. + Prepares charges and payments for submission to the billing office. + Identifies delinquent accounts for collection activities. Reviews status ... coding. + Working knowledge of third party payor reimbursement - Medicare , Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working… more
- Albany Medical Center (Albany, NY)
- …the HIM Operations Manager to ensure all clinical documentation is available to coding/ billing and clinical staff via the electronic health record within 24 hours of ... + Basic understanding of Patient-Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services (CMS) quality measures. + Ability to organize and… more
- New York State Civil Service (Albany, NY)
- …electronic health record issues.* Coordinate OPWDD IT system, Tracking and Billing System (TABS)/CHOICES, updates for assessment operations, QA/QM.* Receive and ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Bassett Healthcare (Hamilton, NY)
- …as monitored by system audit + Accurate confirmation of attending PCP and Billing PCP, when appropriate. + Assures correct data capture and data entry (such ... of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. + Ensures all corrections (demographics, insurance eligibility etc.)… more
- Access: Supports For Living (Poughkeepsie, NY)
- …and progress. + Ensures all behavioral health services meet or exceed Medicaid, Medicare and other federal, state and local standards. Ensures that the clinic meets ... quality documentation is provided by clinical staff, which results in timely billing . This includes systematic collaboration with IT to report on documentation… more
- Healthfirst (NY)
- …environment with various opportunities** + **Knowledge of specialty pharmaceuticals and billing practices in the medical benefit** + **Knowledge of regulations of ... the Centers for Medicare and Medicaid Services including but not limited to National and Local** + **Coverage Determinations** + **PC Skills with Microsoft Word,… more
- Catholic Health Services (Melville, NY)
- …and insurance information is on file for clinical submission and billing . DUTIES/RESPONSIBILITIES: + Determine whether authorization is required and utilize ... Checker and National and Local Coverage Decisions. + Maintain knowledge of Medicare , Medicaid and third-party payer regulations and hospital charging and collection… more
- Stony Brook University (East Setauket, NY)
- …hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert ... healthcare claim drivers. + Expert knowledge of inpatient and outpatient billing requirements (UB-04, 837i). + Experience working with CPT/HCPCs and ICD-10… more
- Molina Healthcare (Yonkers, NY)
- …to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form). * Advanced understanding of key managed care concepts… more
- Deloitte (New York, NY)
- …RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge and experience ... including conducting charge capture and coding reviews for compliance with billing and coding regulatory requirements + Experience in program and/or project… more
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