- Humana (Albany, NY)
- …clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis and interpretation ... **Preferred Qualifications** + Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction,… more
- Highmark Health (Albany, NY)
- …experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care experience + 2 years of ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- Centene Corporation (New York, NY)
- …auditing, project management, or business analysis experience, preferably within the Medicare field. Previous experience coordinating cross functional teams on large ... Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off… more
- Project Renewal, Inc. (Bronx, NY)
- …Disability Level II; Public Assistance Level II; Veterans benefits; Medicaid; Medicare ; HMO insurance ). Active problem-prevention and problem-solving measures ... with residents and clinical team. + Responsible for assessing clients for all entitlements programs they may be eligible for + Assist clients in securing documents required for entitlements applications + Maintain an up-to-date resource manual on changes in… more
- Merck (Albany, NY)
- …operations, project management, or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related ... how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including payer-specific access questions… 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 ... bills (invoices). Ensures tests are ordered, performed, and billed per Medicare /OIG regulations. f. Audits all test credits performed in Specimen Receiving… more
- Mohawk Valley Health System (Utica, NY)
- …or discrepancies in collaboration with the billing department. + Keep current in Medicare , Medicaid and insurance guidelines. Training & Staff Supervision: + ... & Management: + Accurately collect, verify, and input patient demographic, insurance , and medical information into the hospital's electronic health record (EHR)… 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
- Anthony Jordan Health Corp (Rochester, NY)
- …and documentation skills. . This position requires some expertise in Medicaid, Medicare , and ADAP insurance programs. . Sensitive to confidential information ... salary and full benefits offering including medical, dental, vision, life insurance , and 403b retirement plan. We offer Professional Development allowance. Jordan… more
- Humana (Albany, NY)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Health insurance experience + Medicare Advantage experience Travel: While ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 11-29-2025 **About us**… more