- Healthfirst (NY)
- …practices in the medical benefit** + **Knowledge of regulations of the Centers for Medicare and Medicaid Services including but not limited to National and ... Local** + **Coverage Determinations** + **PC Skills with Microsoft Word, PowerPoint (creating presentations and slides), and Excel (Pivot tables).** + **Experience with TruCare Care Management Platform** **Compliance & Regulatory Responsibilities: Noted… more
- Weill Cornell Medical College (New York, NY)
- …ICD-10 coding. + Working knowledge of third party payor reimbursement - Medicare , Medicaid , Managed Care and commercial insurance. **Licenses and ... schedules. + Prepares charges and payments for submission to the billing office. + Identifies delinquent accounts for collection activities. Reviews status… more
- Catholic Health Services (Melville, NY)
- …Checker and National and Local Coverage Decisions. + Maintain knowledge of Medicare , Medicaid and third-party payer regulations and hospital charging and ... and insurance information is on file for clinical submission and billing . DUTIES/RESPONSIBILITIES: + Determine whether authorization is required and utilize… more
- Stony Brook University (East Setauket, NY)
- …hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + ... healthcare claim drivers. + Expert knowledge of inpatient and outpatient billing requirements (UB-04, 837i). + Experience working with CPT/HCPCs and ICD-10… more
- Molina Healthcare (Yonkers, NY)
- …observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form). * Advanced understanding of key managed care concepts… more
- Help at Home (Industry, NY)
- …+ Understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance. + Understanding of communicating effectively ... agency and state regulations. + Assists with obtaining contract authorizations where pre- billing conflicts arise. + Demonstrates a commitment to maintain a high… more
- New York State Civil Service (Little Valley, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... paperwork, ensuring the safety and welfare of the individuals, completing Day Hab billing and documents in a timely manner and engaging individuals in activities and… more
- University of Rochester (Rochester, NY)
- …account reviews/resolutions and all audits. + Coordinates response and resolution to Medicaid and Medicare credit balances. + Requests insurance adjustments or ... Bills primary and secondary claims to insurance. + Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. +… more
- Kaleida Health (Olean, NY)
- …**Must be credentialed per Olean General Hospital policies and procedures if billing for services under Medicare / Medicaid .** **Experience** **Strong ... organizational and communication skills.** **Working Conditions** **Job Details** Department: OGH Delevan Dental Standard Hours Bi-Weekly: 75.00 Weekend/Holiday Requirement: No On Call Required: No **With Rotation:** **Scheduled Work Hours:** M-F 7a-5p,… more
- Catholic Health Services (Roslyn, NY)
- …and insurance status to include but not limited to: ability to pay, Medicare / Medicaid status and all third party payors; + Obtains pre-certification and ... including accounts payable and receivables, budget analysis, staff payroll, personnel interactions, billing , email and phone communications. + Acts as a back up to… more