- Albany Medical Center (Albany, NY)
- …as the provision and reimbursement of medical services including, but not limited, to Medicare and Medicaid . + Proven skills and knowledge relating to the ... not limited to physician and hospital clinical leadership, legal, compliance, billing , finance, IT, case and utilization management, quality, credentialing, and… more
- University of Rochester (Albany, NY)
- …account reviews/resolutions and all audits. Coordinates response and resolution to Medicaid and Medicare credit balances. Requests insurance adjustments or ... primary and secondary claims to insurance. + Identifies and clarifies billing issues, payment variances, and/or trends that require management intervention. Assists… more
- Trinity Health (Albany, NY)
- …Knowledge of federal or state government agencies including but not limited to Medicare , Medicaid , VA or Charity Care programs, or patient management and ... CHAA required within one (1) year of hire. Understanding of basic billing and coding. **Additional Qualifications (nice to have)** Bachelor's degree or advanced… more
- WMCHealth (Valhalla, NY)
- …practice and practice standards for Utilization Management as related to Medicare , Medicaid and HMO's. Working knowledge clinical criteria/guidelines such ... other departments within the outside the hospital as necessary (especially admitting, billing office, fiscal, managed care, insurance case managers, finance) and the… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Buffalo, NY)
- …+ Protecting patient privacy and ensuring compliance with regulations for HIPAA, DOH, Medicaid , and Medicare + Being aware of emergency procedures and assisting ... clinic with generous time off and other benefits. Previous medical insurance & billing experience preferred. This position will be primarily located at our West… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of Experience Required: 2+ years of claim processing experience with a Medicaid / Medicare Health Plan. Preferred: Experience in health insurance product ... of the department. + Provides expertise and assistance relative to provider billing and payment guidelines consistent with CPHL policies and procedures and State… more
- Mohawk Valley Health System (Utica, NY)
- …clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. ... Managers and Attending Physicians to align on the level of care, patient billing status, and potential barriers to patient discharge. The Physician Advisor (PA)… more
- Nuvance Health (Hyde Park, NY)
- …* Surgical Review Corporation (SRC) - Robotic Center of Excellence * Center for Medicare and Medicaid Services (CMS) - 5 Star Rating At Northern Dutchess ... in a clean and safe manner. * Accurately enters patient charges/provides patient billing information to office staff. * Displays analytical and basic problem solving… more
- WMCHealth (Suffern, NY)
- …patient billing and reporting to regulatory agencies such as Center for Medicare and Medicaid . * Prepares monthly income statements by collecting and ... consolidating accounting data. * Assists with preparation of yearly operating and capital budget. * Effectively uses automated systems to perform work assignments. * Performs related duties as assigned. Qualifications/Requirements: Experience: Minimum of 3… more