- SUNY Upstate Medical University (Syracuse, NY)
- …with practice). Must have Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification ... Number (or PTAN). Eligibility criteria for NP requires National Certification through AANP or ANCC prior to hire. Current BLS certification through the American Heart Association or the American Red Cross is required. Preferred Qualifications: Emergency… more
- SUNY Upstate Medical University (Syracuse, NY)
- …with practice). Must have Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification ... Number (or PTAN). Eligibility criteria for NP requires National Certification through AANP or ANCC prior to hire. Current BLS certification through the American Heart Association or the American Red Cross is required. Preferred Qualifications: Psychiatric… more
- Humana (Albany, NY)
- …of the responsibilities: + Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance... Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers… more
- Callen-Lorde Community Health Center (New York, NY)
- …to lead, train, and mentor teams on complex processes. + Experience with Medicaid, Medicare , ACA plans, and private insurance . + Proficiency with EPIC EHR and ... laws and regulations, and serves as a key resource for billing and insurance verification processes. You'll play a critical role in: + Supervising and guiding… more
- ConvaTec (Massapequa, NY)
- …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid, commercial and private insurance payers. Verifies accuracy ... of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims.… more
- Humana (Albany, NY)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical… more
- Calvary Hospital (Bronx, NY)
- …assigned staff. Oversees the interface with the Finance Office regarding pertinent insurance information, eg Medicare , Medicaid, Blue Cross, and Commercial ... data over time. Benefits Benefits: + 401(k) + Dental insurance + Employee assistance program + Employee discount +...discount + Free parking + Gym membership + Health insurance + Health savings account + Life insurance… more
- FlexStaff (New York, NY)
- …* Timely and accurately submit claims to both private and public insurance carriers, including Medicare , Medicaid, and commercial plans. * Investigate ... with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading… more
- Bassett Healthcare (Norwich, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. + Ensures all corrections (demographics, insurance eligibility ... direct revenue responsibility through payment collection, cash handling, processing of insurance eligibility and managed care information. May also have direct… more
- Humana (Albany, NY)
- …organizations in the country. The Healthcare Strategy team supports Humana's Insurance segment. This segment, Humana's largest, comprises the majority of the ... experience leveraging core consulting skills, to support delivering some of the Insurance segment's highest priority projects and initiatives, with an emphasis on … more