- WMCHealth (Valhalla, NY)
- …relations with providers including Blue Cross/Blue Shield, Workers' Compensation, private insurance carriers, Medicare and Medicaid to verify the patient's ... required signatures and authorizations; Obtains pertinent data regarding third party insurance coverage in accordance with established procedures; Refers patients in… more
- FlexStaff (Chappaqua, NY)
- …a dynamic Claims Management Specialist for our client to oversee their Medicare , Medicaid, and Out-of-Network Insurance operations in beautiful Chappaqua, NY. ... and operational success. Responsibilities: - Lead and manage a team of insurance specialists handling Medicare , Medicaid, and out-of-network claims. - Monitor… more
- Molina Healthcare (Queens, NY)
- …Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: health care, insurance , health insurance , Medicaid, Medicare , health coach, community ... highly desirable. **Preferred License, Certification, Association:** + Active Life & Health Insurance + Market Place Certified To all current Molina employees: If… more
- InstaCare EMS (Brooklyn, NY)
- …Call Taker/ Dispatcher: + Knowledge of Medical Terminology + Familiarity with health insurance plans, including Medicare , Medicaid, and commercial insurance ... members and patient caretakers' to arrange ambulance transport + Verifies patients' insurance coverage, benefits, and co-pays + Manages high volume phone calls +… more
- Garnet Health (Harris, NY)
- …In-depth knowledge of ICD, CPT, and HCPCS coding systems. Experience with Medicare , Medicaid, and commercial insurance billing and regulations. Proficiency in ... issues. Excellent written and verbal communication skills for interacting with insurance companies, patients, and internal teams. Ability to work independently and… more
- Rochester Regional Health (Rochester, NY)
- …interviews, to include obtaining necessary pre-registration information, including demographics, insurance information, and Medicare MSPQ, with documentation ... patient/customer concerns professionally. + Executes revenue cycle functions, including insurance verification, precertification, real-time eligibility checks, Medicare … more
- Humana (Albany, NY)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Healthfirst (Bronx, NY)
- …discharge planning, case management, and/or medical surgical nursing Knowledge of health insurance , Medicaid, Medicare and MLTCP Experience working with a frail ... adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement Language preferences - Spanish, Russian, French, Creole,… more
- Healthfirst (Queens, NY)
- …planning, case management, and//or medical surgical nursing** **Knowledge of health insurance , Medicaid, Medicare and MLTCP** **Experience working with a ... frail adult or elderly population with the ability to determine appropriate care plans and services for frail population as well as negotiate initial service plans so that members and families are in agreement** **Language preferences - Spanish, Russian,… more
- 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