- Mount Sinai Health System (New York, NY)
- …- Focused on all payer classes, with deeper focus on patients who have Medicare and Commercial insurance **Qualifications** + Graduate degree in Business or ... Healthcare Administration. + 7-10 years of demonstrated success in leading quality programs with shareable before and after results + 3-5 years should be within ambulatory quality/value-based care quality + Familiarity with Epic EMR and Some Community EMRs,… 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 ... and HIPAA regulations. SKILLS AND KNOWLEDGE REQUIRED: . Strong writing and computer skills . Possess and utilize effective verbal and written communication . Ability to be self-motivated, work independently, and work as a team member . Ability to represent the… more
- Northwell Health (New Hyde Park, NY)
- …area-of-assignment. + May bill (or provide guidance to billing staff) Medicaid, Medicare and private insurance companies for reimbursable services. + Performs ... related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Requirements: + Master's Degree… more
- Trinity Health (Schenectady, NY)
- …nearby both our centers. Eddy SeniorCare serves as both payer (we provide their Medicare and Medicaid insurance ) and provider (offering a full range of ... services--from primary care providers, to home health care, transportation, adult day care, activities, social work, RN case management, nutrition, home delivered meals and medications and medical supplies, and much more!). This is a wonderful opportunity to… more
- CenterWell (Albany, NY)
- …experience in a medical management review organization, such as Medicare Advantage,managedMedicaid, or Commercial health insurance . + Experience ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- University of Rochester (Rochester, NY)
- …and all audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments or retractions. + ... hospital accounts. Activities performed will focus on resolving balances of aged insurance accounts which have not been collected through routine billing and… more
- BrightSpring Health Services (New Hyde Park, NY)
- …or some college preferred + Experience working with all payer types, including Medicare , Medicaid and commercial insurance companies + Knowledge of insurance ... to create patient records and working with access operations to communicate insurance coverage to patients and referral sources. The Intake coordinators are often… more
- Cardinal Health (Albany, NY)
- …company policy, regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or ... things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities… more
- Guidehouse (New York, NY)
- …issues regarding compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG's. + Knowledge ... services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- University of Rochester (Rochester, NY)
- …and all audits. + Coordinates response and resolution to Medicaid and Medicare credit balances. + Requests insurance adjustments or retractions. + ... payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims. + Reviews… more