- Centene Corporation (New York, NY)
- …5+ years of provider reimbursement and analysis experience. Experience with Medicare and Medicaid reimbursement methodology. Managed care experience and provider ... billing experience preferred . Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health… more
- ConvaTec (Massapequa, NY)
- …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid, commercial and private insurance payers. Verifies accuracy and ... of Billing. **Qualifications/Education:** + Must have a high school diploma, college degree preferred , not required. + Six months to one year of related experience… more
- Bassett Healthcare (Oneonta, NY)
- …with the Medical Director of Respiratory Care Services, the Respiratory Specialist is responsible for assisting in the development, implementation, and ... administration of all policies and procedures. The Respiratory Care Specialist performs all roles and responsibilities of a Respiratory Therapist. The Respiratory… more
- FlexStaff (Chappaqua, NY)
- …for leadership and operational excellence? FlexStaff is seeking a dynamic Claims Management Specialist for our client to oversee their Medicare , Medicaid, and ... **Req Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional...Lead and manage a team of insurance specialists handling Medicare , Medicaid, and out-of-network claims. - Monitor daily workflows… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale Agents, Benefit ... Navigators, and Medicare Support Specialists are conducting activities that are in compliance with CMS/DOH and company guidelines by directly reporting to the… more
- University of Rochester (Rochester, NY)
- …Compliance Billing, Coding, and Education Analyst,** **or** **2: Compliance Specialist ):** **1: Compliance Billing, Coding, and Education Analyst** Provides ... developing and delivering comprehensive education and training. **2: Compliance Specialist ** Provides compliance oversight and support across URMC and Affiliates… more
- Catholic Health Services (Rockville Centre, NY)
- …2 years of experience in care coordination, population health, or primary care preferred . + Experience with Medicare Annual Wellness Visits, transitional care, ... discharge planners and primary care providers to ensure continuity of care. Medicare Annual Wellness Visit (AWV) Management + Manage and maintain databases of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …professionals and medical facilities + Communicate with collaborating physician or specialist regarding patient care Provides exemplary patient care Timely and ... of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible… more
- Molina Healthcare (Syracuse, NY)
- …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… 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 ... as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make...One or more of the following required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified… more