- Intermountain Health (Albany, NY)
- …referral information, entering data into the Electronic Medical Record (EMR), and verifying insurance benefits or self-pay status at the time of intake. + Manages ... knowledge, addressing concerns promptly while maintaining a working understanding of Medicare , Medicaid, and third-party billing requirements, as well as privacy and… more
- Mohawk Valley Health System (Utica, NY)
- …in order to promote financial stability within the Hospital. Experience in billing Medicare , Medicaid, Commercial Insurance , HMOs, and Worker's Comp/No Fault is ... a plus. Core Job Responsibilities + Promotes a professional working relationship with insurance companies. Knows each payor representative and uses them as a contact… more
- Mohawk Valley Health System (Utica, NY)
- …support associated with palliative care, end-of-life-care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based ... clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… more
- Humana (Albany, NY)
- …of the responsibilities: + Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if ... part of our caring community and help us put health first** The Senior Agency Management Professional provides support...the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance… more
- CDPHP (Latham, NY)
- …and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values ... activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare ...of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National… more
- Deloitte (Rochester, NY)
- …Required: + 5+ years of health actuary experience and consulting and/or health plan/ insurance company experience + 2+ years of experience with Medicaid ... public entities + Participate in the transformation of the health care sector through innovative actuarial solutions, such as...individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or … more
- Stony Brook University (Stony Brook, NY)
- …performing billing processes and troubleshooting billing questions according to NYS DOH, Medicare , Medicaid and patient insurance regulations. d. Monitors the ... as endorsed by the New York State Department of Health and Occupational Safety and Health Administration...(invoices). Ensures tests are ordered, performed, and billed per Medicare /OIG regulations. f. Audits all test credits performed in… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health , school districts, and ... for People With Developmental Disabilities (OPWDD), Medicaid, Medicare , insurance companies, municipalities, Department of Health , school districts, and… more
- Molina Healthcare (Rochester, NY)
- …+ At least five (5) years' experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience working on ... according to the SIU's standards. Position must have thorough knowledge of Medicaid/ Medicare /Marketplace health coverage audit policies and be able to apply… more
- Catholic Health Services (Sayville, NY)
- …Coverage + Tuition Assistance + Generous Paid Time Off Plan + Comprehensive Insurance + Company-Provided Life Insurance + 403(b) Retirement Savings Plan ... skilled nursing facility that has received four stars from The Centers for Medicare & Medicaid Services (CMS) for long-stay quality measures. We are committed to… more