- Humana (Albany, NY)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- The Arc Erie County NY (Tonawanda, NY)
- …agency, the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school ... Professions, the Office for People With Developmental Disabilities (OPWDD), Medicaid, Medicare , insurance companies, municipalities, Department of Health, school… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …agency, the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school ... Professions, the Office for People With Developmental Disabilities (OPWDD), Medicaid, Medicare , insurance companies, municipalities, Department of Health, school… more
- The Arc Erie County NY (Williamsville, NY)
- …agency, the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school ... Professions, the Office for People With Developmental Disabilities (OPWDD), Medicaid, Medicare , insurance companies, municipalities, Department of Health, school… more
- WMCHealth (Valhalla, NY)
- …accuracy of data on all documents and bills to third party billing companies, Medicare and Medicaid, as well as insurance denial review as appropriate. + ... and procedures for Facility Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility, Insurance denial… more
- Molina Healthcare (NY)
- …regulations pertaining to health insurance , investigations & legal processes (Commercial insurance , Medicare , Medicare Advantage, Medicare Part D, ... oral and written communication skills and presentation skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education** High School… more
- Mount Sinai Health System (New York, NY)
- …in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** + Associate?s ... related field; Bachelor?s degree preferred + 4 years of insurance billing and collection procedures in a health care...and new services. Assures that updated fee schedules for Medicare , Medicaid, commercial and managed care carriers are correctly… more
- Humana (Albany, NY)
- …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... (work at home) + This role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside of bid season + The role… more
- Highmark Health (Buffalo, NY)
- …models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office ... based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer ... Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to… more