- University of Rochester (Rochester, NY)
- …refunds. **ESSENTIAL FUNCTIONS** + Balances and posts electronic file payments from Medicare , Medicaid , Blue Cross, and MVP. Balances check payments, identifies ... payment received in error. + Acts as liaison between PAO and Medicare / Medicaid /Blue Cross/MVP agencies concerning duplicate, insufficient, missing or erroneous… more
- The Wesley Community (Saratoga Springs, NY)
- …team members to resolve billing-related concerns. + Ensure compliance with Medicare / Medicaid billing requirements, regulatory standards, and facility specific ... + 2+ years of billing procedures for all payer types including Medicare , NY Medicaid , HMO and Private insurance + Experience with Private Pay collections +… more
- ABBTECH Professional Resources, Inc. (Albany, NY)
- …Client requests Salesforce Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business ... Owner or SAFe Agilist. Experience working with the Centers for Medicare and Medicaid Services (CMS) and/or health insurance/heath care experience * * Experience… more
- Humana (Albany, NY)
- …Bilingual English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Mount Sinai Health System (New York, NY)
- …physician service charges to ensure they align with payer regulations, Medicare / Medicaid reimbursement methodologies, and managed care contracts. + Provides ... and compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk of compliance violations, audits,… more
- Humana (Albany, NY)
- …Qualifications** + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Danaher Corporation (New York, NY)
- …landscape. + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer ... diagnostics (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare , Medicaid ) + Demonstrated and presentation skills Travel, Motor… more
- Elderwood (Hamburg, NY)
- …and assesses information for the health and well-being of residents in Medicare - or Medicaid -certified nursing homes. Following federally-mandated procedures and ... nurses work in nursing homes, but some are employed in other Medicare - or Medicaid -certified facilities. + The MDS Nurse supports the MDS/PPS Coordinator in… more
- Humana (Albany, NY)
- …the following areas: + Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Mount Sinai Health System (New York, NY)
- …Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid , etc.), managed care contracts and coordination of ... and compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk of compliance violations, audits,… more