- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ideal candidate should have a comprehensive… more
- New York State Civil Service (Staten Island, NY)
- …with free off-street parking. The compensation package includes New York State Health Insurance Program (NYSHIP) insurance , a generous sick leave and vacation ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- Callen-Lorde Community Health Center (New York, NY)
- …and Finance to ensure efficient collection of revenue and compliance with insurance requirements. + Coordinate ordering of supplies, lab services, and vendor ... medical plan option for you, your spouse/domestic partner and/or your family, dental insurance , vision insurance , no-cost life insurance , short- and… more
- WMCHealth (Valhalla, NY)
- …responsible for performing complex clerical procedures related to verifying insurance information and obtaining authorization for inpatient admissions and ... in order to obtain ongoing authorization. + Ensure completion of Medicare Physician Certification according to regulatory timeline. + Collects demographic and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for Marketplace Facilitated Enrollment (MFE): On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), ... and community events. Essential Accountabilities: Level I * Educates Medicaid, Medicare , and Commercial members on healthcare benefits, and community resources… more
- Tarrytown Rehabilitation & Nursing Center (Houghton, NY)
- …We offer the Following: + Great Benefits Package Benefits: + 401(k) + Dental insurance + Health insurance + Paid time off OVERVIEW: The admissions Coordinator ... + Assign and track facility Physician + Complete Admissions Checklist and Insurance Verification (Primary and Co- Insurance ) processes + Check for outstanding… more
- New York State Civil Service (Tupper Lake, NY)
- …considered Qualifying: Experience in such positions as: Police Detective; Insurance Investigator; Licensed and Registered Private Investigator; Federal Investigator; ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- Humana (Albany, NY)
- …Humana leaders as they leverage modern technology to deliver health care and insurance for patients and members. Our team operates at the evolving and mission-driven ... Qualifications** + Technology and/or digital transformation experience + Health insurance , provider, and/or integrated health care experience + Experience working… more
- Heath System Services (Niagara Falls, NY)
- …Intake team to ensure accurate and compliant order intake, billing, and insurance verification. This role requires strong technical skills to navigate multiple ... Ensure timely and accurate handling of incoming orders. + Billing and Insurance Compliance: + Ensure all orders meet payer requirements, including benefit… more
- MVP Health Care (Rochester, NY)
- …justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with ... agencies, or seven years of professional investigation experience involving economic or insurance related matters. + A clinical investigator must have in addition to… more