- Molina Healthcare (Rochester, NY)
- …+ Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). ... and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and… more
- YAI (Manhattan, NY)
- …with benefits and entitlements in the healthcare and/or I/DD field including Medicaid , Medicare and applicable regulatory agencies. + Strong written and ... and ensure timely and complete processing of billing and to maximize reimbursement for services. + Makes updates to billing-related information in electronic systems… more
- Baylor Scott & White Health (Albany, NY)
- …and reporting to stakeholders across all lines of business (Commercial, DTE, Medicare , and Medicaid ). Candidate will oversee extracting and analyzing medical ... and pharmacy claims data, translating output into business recommendations. This individual...plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits… more
- Molina Healthcare (Yonkers, NY)
- …observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. ... care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial… more
- Trinity Health (Albany, NY)
- …Knowledge of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid , Social Security Disability, Champus, and Supplemental ... offer great Benefits including:** Competitive Pay, Paid Time Off. Tuition Reimbursement , etc. **What you will do:** + Verifies patient identification, demographic… more
- Centene Corporation (New York, NY)
- …of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals ... to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to… 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 ... assigned patient accounts through entire revenue cycle to ensure copay program claims , payments, denials, and other assistance programs are being processed properly.… more