- Humana (Albany, NY)
- …across our tax accounting operations. **Key Responsibilities** + Lead the preparation, review , and analysis of the company's quarterly and annual income tax ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Humana (Albany, NY)
- …vendor relationships (eg, CDP, marketing automation tools). 5. Technical Oversight: + Review architecture decisions, code quality, and system design. + Stay ahead of ... are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal… more
- FlexStaff (Chappaqua, NY)
- …A WEEK The candidate MUST HAVE Medical Billing & AR Experience- Experience in Medicare Part B and in Network Managed Care, Medical Coding Modifier Experience & Large ... or online and appealing denied or incorrectly paid claims. Key Responsibilities: - Review insurance payments for accuracy based on fee schedules - Prepare and submit… more
- Cognizant (Albany, NY)
- …with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. * 1 year of ... * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with minimal supervision.… more
- Fresenius Medical Center (Brooklyn, NY)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification requirements within… more
- Northwell Health (Staten Island, NY)
- …Pacific Interpreter phone or Pocket Talker when necessary. + * Completes Medicare Secondary Payor questionnaire. + * Completes, reviews, updates and replenishes ... Notifies private ambulances of diversion status. + * Performs final chart review , incorporates loose sheets and ensures entire chart assembly is completed upon… more
- Cardinal Health (Albany, NY)
- …concurrent assignments and work with a sense of urgency + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, preferred + ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Fresenius Medical Center (Fairport, NY)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... or state specific certification as defined by Center for Medicaid/ Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture,… more
- Ellis Medicine (Niskayuna, NY)
- …process for calling in a service call on equipment + Ability to review prior breast/radiology images and/or reports and correlate relevant findings on current study ... Department of Health (NYSDOH), American College of Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), and Joint Commission (TJC) standards + Complete… more
- Ellis Medicine (Schenectady, NY)
- …precertification of benefits and coverage; HMO contracts through various agencies, Medicare and Blue Cross eligibility and benefits through the OMNIPRO system, ... per the guidelines to maximize reimbursement and allow surgeons ample time to review test results, for pre-admission testing and a variety of departments based on… more