- New York State Civil Service (Hamburg, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade ... responsible for the oversite of some aspects of Medicaid billing and at times for the supervision of Direct...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more
- Highland Hospital (Rochester, NY)
- **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and perform quality control...or Financial Assistance, reviews and validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination… more
- Deloitte (New York, NY)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... concerns, financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of clinical… more
- Westchester Jewish Community Services (White Plains, NY)
- …with mental health or health care settings. + Proficient knowledge of Medicare /Medicaid billing policies. + Bi-lingual English/Spanish a plus! What WJCS ... each year. We are currently seeking a full-time Admitting Specialist to join our team. The Admitting Specialist... Specialist to join our team. The Admitting Specialist is involved in the processing of intakes/referrals for… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …to Medicare , Medicaid, and other insurance programs. The Intake Specialist will collaborate closely with patients, family members, external partners, and ... the general supervision of the Intake & Recruitment Supervisor, the Intake Specialist is responsible for processing referrals received from the RiseBoro marketing… more
- New York State Civil Service (Middle Island, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade ... Plan meetings are conducted and services are coordinated. * Follow up on billing discrepancies, prepare documents for audits and claims reviews.* Caseload may change… more
- BronxCare Health System (Bronx, NY)
- …holds. Bill Hold Tracker to be kept up to date (Pre & Post Billing ). - Develops with Clinic Operations corrective action plans to improve insurance identification ... to improve communication and feedback to ensure timely, complete and accurate billing . - Informs clinics of policy, system and operational changes regarding… more
- Molina Healthcare (Buffalo, NY)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
- Molina Healthcare (Buffalo, NY)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more