- ConvaTec (Massapequa, NY)
- …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid, commercial and private insurance payers. Verifies accuracy and ... completeness of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims. + Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in… more
- Cardinal Health (Albany, NY)
- …+ Cell/Gene therapy and/or Oncology experience, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, preferred ... + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of ICD9/ICD10 coding is preferred + Critical and creative thinking, preferred + Important to have a strong attention to detail **TRAINING AND WORK SCHEDULES:**… more
- Northwell Health (Lake Success, NY)
- …of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. Generates queries and have follow up ... discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical… more
- Trinity Health (Syracuse, NY)
- …data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State ... and Private payer regulations. Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review Responsible for proofing daily charges for accuracy and clean claim submission Responsible for balancing charges and… more
- Trinity Health (Syracuse, NY)
- …data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State ... and Private payer regulations.Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial reviewResponsible for proofing daily charges for accuracy and clean claim submissionResponsible for balancing charges and… more
- Arnot Health (Elmira, NY)
- …various government and employee requested forms such as medical support notices, Medicare verifications, and DSS requests. 10. Responsible for any necessary entry ... needed to ensure the accuracy of leave payments due to the employee, as well as any benefit premiums due from the employee.* 11. Responsible for the filing of life insurance claims and assisting employees and/or beneficiaries. 12. Communicates with employees,… more
- BronxCare Health System (Bronx, NY)
- …changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare . Keeps front-end administrators up-to-date with payer changes or guidance. - ... Maintains and reconciles daily therapy services. - Assists clinics in account updating and information reporting. - Performs in-service as needed for insurance identification and reporting. Coaching and performance reviews for various clinic locations. -… more
- Humana (Albany, NY)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health… more
- New York State Civil Service (East Syracuse, NY)
- …care.* As Psychiatrist 1, you will serve as a practicing specialist under the direction of a higher-level Psychiatrist or Physician. ... are responsible for payment of all required fees.Medicaid and Medicare : In order to be eligible for appointment and...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- New York State Civil Service (West Seneca, NY)
- …(LCAT) in New York State; certification as a Therapeutic Recreation Specialist (CTRS) by the National Council for Therapeutic Recreation Certification (NCTRC); ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more