- Northwell Health (Melville, NY)
- …hybrid role. Job Responsibility + Understanding of various insurance carriers, including Medicaid , Medicare , HMOs, Workers Compensation, No Fault, contracted and ... assure accurate and timely payment of accounts. + Verifies completeness and accuracy of billing data and revises any errors. + Review and respond to third party,… more
- New York State Civil Service (Middle Island, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... Plan meetings are conducted and services are coordinated. * Follow up on billing discrepancies, prepare documents for audits and claims reviews.* Caseload may change… more
- Mount Sinai Health System (New York, NY)
- …procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health ... staff, Finance personnel, department managers, access services staff, and Billing Assistants. External contacts may include third party payers,...care related billing and benefits investigation 1 year of retail pharmacy… more
- Callen-Lorde Community Health Center (New York, NY)
- …coaching, mentoring, and leading/building a team is required. + Knowledge of Medicaid /Managed Care, Medicare , HIPAA, ADA compliance, and state health ... of our dental services, with oversight of administrative workflows, scheduling, billing , and patient access. Reporting directly to the Director of Dentistry,… more
- Equinox, Inc (Albany, NY)
- …+ One year of professional experience + Knowledge and understanding of Medicaid , Medicare , Managed Care Plans and private insurance coverage Preferred ... for potential and current clients to maintain efficient and timely billing + Ability to navigate insurance websites efficiently performing insurance verification… more
- Vatica Health (Rochester, NY)
- …both verbally and written + Understanding of health insurance benefit structure; especially Medicare and Medicaid + Must be technically savvy; this is critical ... in critical care (ie, ICU/CCU/MICU) and/or ED) + Proficiency with Diagnosis, Billing , and Quality Measures Coding a plus + Excellent interpersonal skills that… more
- Highland Hospital (Rochester, NY)
- …refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and validates MSP questions, monitors ... Medicare days for exhausted benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical… more
- Access: Supports For Living (Poughkeepsie, NY)
- …of risk and progress. + Ensures all behavioral health services meet or exceed Medicaid , Medicare and other federal, state and local standards. Ensures that the ... quality documentation is provided by clinical staff, which results in timely billing . This includes systematic collaboration with IT to report on documentation… 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 ... in the practice's standard of operations policies regarding patient care and billing related activities. + Identifies areas of improvement for the front desk,… more
- Highmark Health (Albany, NY)
- …duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in ... formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They… more