- FlexStaff (New York, NY)
- …and accurately submit claims to both private and public insurance carriers, including Medicare , Medicaid , and commercial plans. * Investigate and resolve denied ... Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a… more
- Catholic Health (Buffalo, NY)
- …a regular basis + Request annual COI from clients and upload into CAQH + Complete Medicare and Medicaid re-validations when needed + Track when Medicare and ... phone call from Insurances, providers, client managers, practice and billing staff + Respond to numerous emails from clients,...Respond to numerous emails from clients, insurances, office and billing staff + Research requests from office and … more
- New York State Civil Service (Albany, NY)
- …data sets available in OPWDD including those for quality measurement, billing , external survey projects, service enrollment, Medicaid utilization, and ... eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- Molina Healthcare (Buffalo, NY)
- …representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Buffalo, NY)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Rochester, NY)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team ... complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current Molina employees:… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …or TSSLD). Limited license may be required for CFY candidates (directly billing Medicare ). ASHA certification preferred. Essential Job Functions: + Physical ... of the agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare , insurance companies, municipalities, Department of Health, school… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... role in testing, coding, modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB) contracts for the MSHS Health System. This individual… more
- Heath System Services (Niagara Falls, NY)
- …verification, medical necessity qualification, and prior authorization. + Maintain adherence to Medicare , Medicaid , and commercial payer standards. + Act as a ... and manage the Intake team to ensure accurate and compliant order intake, billing , and insurance verification. This role requires strong technical skills to navigate… more
- Project Renewal, Inc. (New York, NY)
- …with federal, state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid / Medicare , Part 2). + Ensure the organization's compliance program meets ... (FQHC or Article 28 experience strongly preferred). + Strong knowledge of HIPAA, Medicaid / Medicare , Stark Law, Part 2, and healthcare regulatory standards. +… more