- Arnot Health (Bath, NY)
- …the Long Term Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time ... MDS based Case Mix to ensure appropriate classification of residents for reimbursement . + Handles financial, personnel and medical records or other facility… more
- Centene Corporation (New York, NY)
- …with state and federal health programs such as Medicaid and Medicare . Provider relations/contracting experience including solid communication and negotiation skills. ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
- Northwell Health (Riverhead, NY)
- …health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues. + Works with on-site screeners in transitioning patients to ... companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to… 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 ... insurance claims and resolve billing issues. Must track payer/billing issues that affect reimbursement of claims and advising the management team of those trends and… 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...refund of credits + Review and advise supervisor or manager on trends of incorrectly paid claims from specific… more
- Rochester Regional Health (Rochester, NY)
- …for insurance eligibility via insurance websites, where appropriate * Completes Medicare Secondary Payer Questionnaire for all Medicare -eligible patients * ... Completes all admission forms required by Medicare * Verifies third party payer benefits and Worker's...Performs other clerical duties as assigned by Patient Access Manager Customer Service * Practices proficient customer service skills… more
- Option Care Health (New Rochelle, NY)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...health agencies in the absence of a director or Manager of Nursing. + Manages daily activities with regards… more
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional ... issues in an accurate and timely fashion. In collaboration with the Underpayment Team manager , the Senior CBO Appeals Analyst will work to further the CBO's goals of… more
- CenterWell (Albany, NY)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... as medical, dental and vision benefits, 401k with company matching, tuition reimbursement , 3 weeks paid vacation time, paid holidays, work-life balance, growth, a… more
- Bassett Healthcare (Cooperstown, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based ... is recorded in accordance with standard operating procedure to support reimbursement and regulatory compliance and patient care. When Appropriate prior… more
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