- Insight Global (Syracuse, NY)
- …regulations is required, including regulatory compliance requirements. Extensive knowledge of Medicare , Medicaid , Managed Care is required. Strong analytical and ... to ensure contract fees are modeled accurately in the billing system and working with billing staff to identify variances in actual payment. Identifies and… more
- Mohawk Valley Health System (Utica, NY)
- …in collaboration with the billing department. + Keep current in Medicare , Medicaid and insurance guidelines. Training & Staff Supervision: + Train ... accurate patient data collection, efficient scheduling, chart documentation, timely billing processes, and the onboarding and training of new administrative… more
- Cardinal Health (Albany, NY)
- …and executing audit plans. + Expert-level knowledge and application of Medicare / Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC ... and manages compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This… more
- The Arc Wayne (Newark, NY)
- …System (NPPES), and to actively participate to allow for services to be billed through Medicare and/or Medicaid . + Must have a valid New York State driver's ... provision to individuals. + Responsible for timely and accurate billing of article 16 services. Acts as liaison to...are identified as having a potential to bill to Medicare , require enrollment as a Medicare provider… more
- University of Rochester (Rochester, NY)
- …through to resolution. + Provides support regarding payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance ... organizes and conducts operations that affect the revenue cycle, such as billing , collections, and payment processing. Recommends and implements processes to meet… more
- Northwell Health (Lake Success, NY)
- … billing modules. + Understanding of payer guidelines and regulations (eg, Medicare , Medicaid , commercial payers). + Exceptional attention to detail and ... project planning, research, and analysis related to claims management and billing workflows, ensuring initiatives meet their strategic objectives and timelines. Job… more
- University of Rochester (Rochester, NY)
- …and cross-training staff. + Assists leadership with payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance ... feedback to supervisors and managers. Supports some aspects of billing office operations, including basic principles of staff management/supervision. **LOCATION**… more
- Catholic Health Services (Smithtown, NY)
- …Compliance: Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare , Medicaid ) and ensure compliance. + Data Analysis: Analyze ... (MDS) assessments and other relevant documentation. + Coding and Billing : Assist in the accurate coding and billing... Billing : Assist in the accurate coding and billing of resident care services to maximize reimbursement. +… 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** * Enters denials ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare , Marketplace and/or other government-sponsored program), or… more
- Mount Sinai Health System (Elmhurst, NY)
- …up projects for Claim Edit holds are placed for providers pending certification with Medicaid for electronic billing , and Follow Up work queues are monitored for ... the supervision of the Administrative Manager assists with the Medicaid enrollment and maintains files . 2. Assist with... enrollment and maintains files . 2. Assist with Medicare enrollment and maintenance file requests. 3. Submits updated… more