- Adecco US, Inc. (New York, NY)
- …years in healthcare reimbursement (Buy & Bill, Specialty Pharmacy) + Knowledge of Medicare & commercial insurance + Strong communication, customer service, and ... fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or specialty pharmacy distribution… more
- Fresenius Medical Center (Vestal, NY)
- …coordinate insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal ... and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include… 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
- New York State Civil Service (Oxford, NY)
- …standards are met. Develop, recommend, and implement policies and procedures for Medicare / Insurance and Medicaid/Private Pay units so that an appropriate billing ... as a liaison between CBO staff and other departments, third-party agencies, insurance companies, and patients to conduct activities and solve problems.* Apply… more
- CVS Health (NY)
- …talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part of a specialized team ... who will focus on educating existing Medicare members on available plan offerings to help meet...to pass, on an annual basis: + American Health Insurance Plans (AHIP) + Continued Education (CE's) + Product… more
- MVP Health Care (Schenectady, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a ** Medicare Field Sales Representative** to join #TeamMVP. This is the opportunity for ... of education and related experience. + Active NYS Accident & Health Insurance License (must maintain continuous licensure). + Valid driver's license and access… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- CVS Health (New York, NY)
- …with heart, each and every day. **Position Summary** Aetna is one of the largest Medicare plan carriers in the United States and supports over 6 million members on ... administrative platforms. The Lead Director, Technology Product Management for our Medicare Enrollment & Billing will lead the strategic roadmaps, capabilities, and… more
- Humana (Albany, NY)
- …established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be passionate about ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
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