- University of Rochester (Rochester, NY)
- …Bills primary and secondary claims to insurance. + Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. + ... and all audits. + Coordinates response and resolution to Medicaid and Medicare credit balances. + Requests insurance adjustments or retractions. + Reviews and… more
- Albany Medical Center (Albany, NY)
- …not limited to physician and hospital clinical leadership, legal, compliance, billing , finance, IT, case and utilization management, quality, credentialing, and ... provision and reimbursement of medical services including, but not limited, to Medicare and Medicaid. + Proven skills and knowledge relating to the implementation… more
- New York State Civil Service (Albany, NY)
- …data sets available in OPWDD including those for quality measurement, billing , external survey projects, service enrollment, Medicaid utilization, and other routine ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- University of Rochester (Albany, NY)
- …primary and secondary claims to insurance. + Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. Assists ... and all audits. Coordinates response and resolution to Medicaid and Medicare credit balances. Requests insurance adjustments or retractions. Reviews and works… more
- Lifespan (Rochester, NY)
- …as independent as possible. 6. Maintain and manage all records, case notes, billing , reports and metrics as required ensuring accuracy and compliance with agency ... applicable to clients, including but not limited to SSI and Medicaid, MMLTC, VA, Medicare , SNT. . Must have attention to detail and, ability to multi-task. . A… more
- Mount Sinai Health System (Brooklyn, NY)
- …obtain receipts, document records) 6. Process patients/clients and employee payments, billing , cashier transaction 7. Process log, batch, and maintain receipts to ... Notification Record, Insurance Authorization Financial Agreement, and Important Message from Medicare about Discharge, NYS Caregivers Act. 21. Functions as a liaison… more
- WMCHealth (Valhalla, NY)
- …( Medicare , Commercial, HMO's, PPO's, etc.); EMTALA regulations, hospital billing and collection processes. Ability to work independently. Must pay attention ... to detail, ability to prioritize, ability to communicate with associates and patients alike, public relation skills and ability to de-escalate patients dealing with distressing situations, professional demeanor. Willingness to develop and/or improve public… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …This role requires a strong understanding of homecare regulations related to Medicare , Medicaid, and other insurance programs. The Intake Specialist will collaborate ... client deferrals/rejections, authorization documentation, start/end dates, re-admission dates, and billing in coordination with responsible Homecare units and designated… more
- WMCHealth (Valhalla, NY)
- …other departments within the outside the hospital as necessary (especially admitting, billing office, fiscal, managed care, insurance case managers, finance) and the ... practice and practice standards for Utilization Management as related to Medicare , Medicaid and HMO's. Working knowledge clinical criteria/guidelines such as… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of the department. + Provides expertise and assistance relative to provider billing and payment guidelines consistent with CPHL policies and procedures and State ... Experience Required: 2+ years of claim processing experience with a Medicaid/ Medicare Health Plan. Preferred: Experience in health insurance product environment.… more