- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the ** Senior Revenue Cycle Specialist** will act as an operational leader in the ... hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of ... to the other bureaus within the group, if needed. **Basic Qualifications:** + Senior Healthcare Program Specialist - Bachelor's Degree, + 8 years of professional… more
- Northwell Health (Lake Success, NY)
- …online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference ... for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical… more
- Datavant (Albany, NY)
- …work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic ... or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. +… more
- Weill Cornell Medical College (New York, NY)
- Title: Senior Patient Coordinator Location: Lower East Side Org Unit: 53 Beekman St, Cellar and Sub-Cellar Work Days: Weekly Hours: 35.00 Exemption Status: ... coding. + Working knowledge of third party payor reimbursement - Medicare , Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working… more
- CVS Health (New York, NY)
- …heart, each and every day. **Position Summary** CVS Health is looking for a Senior Data Scientist to join the Growth Analytics under Analytics & Behavior Change. ... Uncover friction points, drop-off stages, and high-value engagement opportunities across Medicare products. + Develop and deploy machine learning and statistical… more
- FlexStaff (New York, NY)
- **Req Number** 166842 We are looking for a seasoned Senior Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance ... accurately submit claims to both private and public insurance carriers, including Medicare , Medicaid, and commercial plans. * Investigate and resolve denied or… more
- New York State Civil Service (West Seneca, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Recreation Therapist (NY HELPS) - WNY EOA# 25-564cc Occupational Category Health ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- CVS Health (Albany, NY)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal Justice or… more
- CVS Health (Albany, NY)
- …role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations, conduct high-level reviews ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
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