- New York State Civil Service (Little Valley, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade ... paperwork, ensuring the safety and welfare of the individuals, completing Day Hab billing and documents in a timely manner and engaging individuals in activities and… more
- Molina Healthcare (Rochester, 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
- Molina Healthcare (Yonkers, NY)
- …using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other ... support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment… more
- Mount Sinai Health System (Elmhurst, NY)
- …assists with the Medicaid enrollment and maintains files . 2. Assist with Medicare enrollment and maintenance file requests. 3. Submits updated licenses and deas as ... placed for providers pending certification with Medicaid for electronic billing , and Follow Up work queues are monitored for...enrollment and gives access to the provider listing for billing vendor use. 10. Manages One App folder organization… more
- University of Rochester (Rochester, NY)
- …from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical ... of aged insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions… more
- Mount Sinai Health System (New York, NY)
- …with Epic. + Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid, etc.), managed care contracts and ... of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the Senior Director. This role… more
- Cardinal Health (Albany, NY)
- …Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing… more
- Catholic Health Services (Melville, NY)
- …other patient access operational activities for the Catholic Health. The Authorization Specialist role is responsible to submit prior authorizations timely, and that ... and insurance information is on file for clinical submission and billing . DUTIES/RESPONSIBILITIES: + Determine whether authorization is required and utilize… more
- Mohawk Valley Health System (Utica, NY)
- …Managers and Attending Physicians to align on the level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA) ... and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of… more