- Stony Brook University (East Setauket, NY)
- …role. + Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... + Create audit and reconciliation plans related to: charges, adjustments, expected reimbursement and denials; accelerated and unposted cash. + Document and validate… more
- Cardinal Health (Albany, NY)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
- Finger Lakes Health (Geneva, NY)
- …role in ensuring our residents receive top-quality care. You will coordinate Medicare assessments, care planning, and reimbursement efforts in alignment with ... (BSN) Experience: + Strong knowledge of MDS processes, care planning, reimbursement documentation, and DOH regulations. + Previous experience in long-term care… more
- Stony Brook University (East Setauket, NY)
- …+ Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge ... of third-party payer reimbursement and managed care contracts. + Experience in utilizing insurance websites to check for eligibility and claim status. + Experience investigating, reviewing and following-up on rejected/denied inpatient and outpatient… more
- UHS (Johnson City, NY)
- …Regulations of the Medical Staff, and in conformity with the requirements for reimbursement under Medicaid, Medicare and other third party payers. Salary Range ... in the current medico-political climate in the country and pertinent reimbursement issues. EXPERIENCE: Previous general laboratory experience is preferred. Organize… more
- Cardinal Health (Albany, NY)
- …a lot of different hats, without getting overwhelmed), required * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for ... coverage, preferred * Knowledge of DME, MAC practices, preferred * Prior understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred * Intermediate to advanced computer skills and proficiency in Microsoft Office including but… more
- University of Rochester (Rochester, NY)
- …ensuring the visit balances on the accounts receivable are at expected reimbursement based on contractual agreements with payers, and determining and completing the ... resolve billing issues. Must track payer/billing issues that affect reimbursement of claims and advising the management team of...reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over… more
- WMCHealth (Warwick, NY)
- …other providers, regulatory agencies, billing agencies, and auditing agencies including Medicare , Medicaid, and third-party billers. + Scans, uploads, and files ... authorizations. + Obtain Pre-Admission Authorizations and continued stay authorizations with Medicare , Medicare Advantage, Medicaid, and Insurance Programs. +… more
- SUNY Upstate Medical University (Syracuse, NY)
- …included registration, lodging, meals and transportation, virtual conference also qualifies for reimbursement . 3. To be eligible for reimbursement for any CMEs ... Laptop with remote access, Mac or PC. 8. Parking reimbursement . 9. Cell phone allowance of $50.00 per month....licensed/registered PA required. Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or… more
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