- FlexStaff (New York, NY)
- …submit claims to both private and public insurance carriers, including Medicare , Medicaid , and commercial plans. * Investigate and resolve denied or ... extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading… more
- Ellis Medicine (Schenectady, NY)
- …and reconcile deposit slips. + Review Billing Exception Report for Revenue Management, the Medicare system (FISS), and the claims scrubber (SSI) daily for data ... Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …(eg Medent, Epic, or similar) is required. + Comprehensive knowledge of commercial, Medicare , Medicaid , and workers' comp billing procedures preferred. + Strong ... services. This role is responsible for follow-up and resolution to optimize reimbursement from insurance carriers and patients on a timely basis. The Billing… more
- Stony Brook University (East Setauket, NY)
- …variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert knowledge of third ... limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new...+ Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists… more
- Centene Corporation (Queens, NY)
- …and executive orders. + Deep understanding of managed care models (HMO, PPO, Medicaid , Medicare Advantage, Duals, SNPs). + Familiarity with healthcare laws, ... reimbursement models, and value-based care initiatives. + Perform duties...related to operational areas. + Oversee day-to-day operations including claims processing, provider network management, member services, utilization management,… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- …Care, and private billing, claim corrections and follow-up + Track and re-bill pending Medicaid accounts + Re-bill claims as needed + Identify pattern problems ... for facility and private pay + Month-end closing process + Re-bill claims to improve reimbursement from NETRX reporting + Assist in special projects as required… more
- ConvaTec (Massapequa, NY)
- …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid , commercial and private insurance payers. Verifies accuracy ... Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . +...and payer issues in an effort to recover proper reimbursement . + Provides customer service relating to all billing… more
- Cognizant (Albany, NY)
- …billing, with strong knowledge of RARC and CARC codes. . Expertise in Medicare , Medicaid , Managed Care, and Commercial payer processes. . Deep understanding ... reduce denials. You'll work closely with payers to ensure timely reimbursement and contribute to operational excellence through data-driven insights and… more
- Molina Healthcare (NY)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Yonkers, NY)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more