• Lead Technology Product Manager-Commercial Drug…

    Wolters Kluwer (New York, NY)
    …market insights into actionable product requirements, collaborates closely with Engineering, Content , and go-to-market teams, and ensures that our solutions meet the ... long-term advocacy. **Cross-Functional Collaboration** * Coordinate with Engineering and Content teams to ensure product requirements are well understood,… more
    Wolters Kluwer (07/18/25)
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  • Nursing Home Billing Specialist - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …and patient statements. + Organize department documents through electronic scanning and system documentation. + Inform department staff and management of ... requirements set by CMS . + Comply with organization policies. + Prepare system for month end closing, reporting and cash reconciliation. + Perform related duties… more
    Mohawk Valley Health System (07/09/25)
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  • Senior Patient Account Representative

    Northwell Health (New Hyde Park, NY)
    …and maximize case collections. + Reviews and recommends improvements for financial management of each billing area. + Performs related duties as required. All ... relevant experience, required. Preferred Experience + In-depth knowledge of Medicare and Medicaid billing regulations, guidelines, and compliance requirements (eg,… more
    Northwell Health (08/16/25)
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  • Claims Adjudication Specialist - Remote

    Cognizant (Albany, NY)
    …ICD-10 * Experience making payments with UB/institutional ( CMS -1450) and/or professional ( CMS 1500) claims * Knowledge of Medicare / Medicaid payment and ... Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper...Assigning special projects or other duties as determined by management . **What you need to have to be considered:**… more
    Cognizant (08/15/25)
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  • Clinical Liaison - Home Health

    Guthrie (NY)
    …care directly to where patients need it most: home. As a 4-star CMS -rated Medicare -certified agency, we deliver skilled nursing, therapy services, social work, ... end-of-life care to ensure timely referral to hospice. + Work with case management teams to identify appropriate patients for referral to Guthrie Hospice services. +… more
    Guthrie (08/13/25)
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  • Patient Financial Experience Specialist

    Stony Brook University (East Setauket, NY)
    …+ Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + ... information. + Identifies issues and patterns on accounts within our financial system . + Assists in staff training and makes recommendations to improve policy… more
    Stony Brook University (08/08/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Albany, NY)
    …+ Experience making payments with UB/institutional ( CMS -1450) and/or professional ( CMS 1500) claims. + Knowledge of Medicare /Medicaid payment and coverage ... and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA paper...and external SLAs. + Other duties as assigned by management . **Qualifications:** + A minimum of 2 years' claims… more
    Cognizant (08/01/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Buffalo, NY)
    …and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services ( CMS ) regulations and guidelines of risk ... CPC credential **Preferred Education** Bachelor's Degree in Business Administration, Health Care Management o To all current Molina employees: If you are interested… more
    Molina Healthcare (07/25/25)
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  • Licensed Master Social Worker - Outpatient

    Bassett Healthcare (Oneonta, NY)
    … (when appropriate). Adherence to established Conditions of Coverage for the Center for Medicare & Medicaid services ( CMS ) for End Stage Renal Disease (ESRD) ... dialysis clinics. Core Social Worker Functions (applies to all Social Workers) Participation in departmental rounds or team meetings as required Comprehensive bio-psychosocial assessment of patient Treatment planning to address issues identified in… more
    Bassett Healthcare (07/09/25)
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