- Stony Brook University (East Setauket, NY)
- …policies and procedures to conform to regulatory agency mandates which ICD-10 CM billing codes, medical necessity and medicare questionnaires. + Will handle all ... registration processes. These functions include knowledge of insurance providers, billing codes, order entry, Sunquest laboratory information systems, result… more
- Bassett Healthcare (Edmeston, 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. based… more
- Molina Healthcare (Yonkers, NY)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and ... * Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical office/hospital… more
- Arnot Health (Elmira, NY)
- …receive the maximum reimbursement that is allowable. 9. Demonstrates knowledge of Medicare requirements for approved ICD-9 codes and to communicate to the provider ... when a code is not approved, and knowledge of Medicare waivers. 10. Demonstrates the ability to accurately pre-authorize / pre-certify patients exams for all… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …business day preferred where possible. Interacts with Operations, Enrollment and Billing , Customer Care, Claims, Advocacy, Clinical Operations, Medical Affairs and ... multiple pressures and demands. * Ability to complete required internal Medicare Training per Center for Medicare Services within one year of start date. * PC… more
- Molina Healthcare (Buffalo, NY)
- …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required ... - 5 years supervisory experience + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Experience with Databricks + Proficiency… more
- Walgreens (Valhalla, NY)
- …+ Fully abides to all compliance policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including ... Medicare , Medicaid, and all other third-party payers, as well...and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare , accreditation bodies, compounding, FDA, etc.). + Complies with… more
- Rochester Regional Health (Rochester, NY)
- …+ Check insurance eligibility via appropriate websites. + Complete the Medicare Secondary Payer Questionnaire for eligible patients. + Complete all required ... Medicare admission forms. + Verify third-party and Worker's Compensation...QUALIFICATIONS: + Knowledge of medical terminology, EHR systems, coding, billing , and HIPAA. + Strong customer service, communication, multitasking,… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... to analyze and report the financial performance for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that… more
- Walgreens (Buffalo, NY)
- …+ Fully abides to all compliance policies inclusive of participating in the billing and submission of claims to government- sponsored health care programs, including ... Medicare , Medicaid, and all other third-party payers, as well...and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare , accreditation bodies, compounding, FDA, etc.). + Complies with… more
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