- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Encounter Data Management Lead supports the Encounter Data Management team within the ... ensuring the accurate and timely submission of encounter data to Medicaid, Medicare , and DSNP states, while maintaining adherence to all regulatory requirements. The… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** We're seeking a highly analytical and data-driven Financial Analytics Lead to join our team. ... You'll play a key role in shaping financial insights, supporting Medicare -related initiatives, and guiding analytical projects that impact business outcomes. +… more
- Northwell Health (Melville, NY)
- …job. This is a hybrid role. Job Responsibility + Understanding of various insurance carriers, including Medicaid, Medicare , HMOs, Workers Compensation, No Fault, ... detailing patient demographics as well as updating payment and medical insurance information. + Processing patient payments and refunds. + Identifying medical… more
- Dartmouth Health (Hoosick Falls, NY)
- …also be available, subject to eligibility. * Hospital Employed Position (Dartmouth Health ) Responsibilities SVHC is an integrated, non-profit health system and ... has a proud 100-year history as an innovator in health care delivery. It includes a 99-bed hospital and 25 primary care and specialty care practices at nine… more
- Catholic Health Services (Roslyn, NY)
- Overview St Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the Franciscan ... physicians, nurses and supporting medical professionals who put the health needs and safety of our patients first. For...to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction… more
- Intermountain Health (Albany, NY)
- …true overpayments from false credits + Advanced knowledge of revenue cycle and health insurance payers + Reading and Understanding Payer Contracts + Advanced ... cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in hospital… more
- Catholic Health Services (Roslyn, NY)
- …with established policy, procedures, and regulatory agencies; + Verifies validity of insurance information and enters data into EPIC; + Collects and collates all ... necessary patient information related to demographic, financial, and insurance status to include but not limited to: ability...to include but not limited to: ability to pay, Medicare /Medicaid status and all third party payors; + Obtains… more
- New York State Civil Service (Ovid, NY)
- …Assistant 50% (Van Dyke Addiction Treatment Center) (NY HELPS) Occupational Category Health Care, Human/Social Services Salary Grade 11 Bargaining Unit ISU - ... to the routines, procedures, and policies of the ATC. * May complete insurance calls and documentation regarding coordination of care with financial/ insurance … more
- Molina Healthcare (NY)
- …working knowledge of Local, State & Federal laws and regulations pertaining to health insurance , investigations & legal processes (Commercial insurance , ... oral and written communication skills and presentation skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education** High School… more
- Highmark Health (Buffalo, NY)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... Quality Assurance (NCQA), Utilization Review Accreditation Committee (URAC), Pennsylvania Department of Health , Department of Labor, the Center for Medicare and… more