- University of Rochester (Rochester, NY)
- …and all audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments or retractions. + Review and ... Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not… more
- CDPHP (Latham, NY)
- …as assigned Qualifications: + 3 years managed care experience with commercial, Medicare and Medicaid lines of business and regulatory requirements + Associates ... and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC. more
- WMCHealth (Poughkeepsie, NY)
- …Provider Solutions Inc. City/State: Poughkeepsie, NY Category: Clerical/Administrative Support Department: Patient Accounts-WMC Health Union: No Position: Full ... Knowledge of Patient management System(s), payer websites, medical terminology, Medicare medical necessity and commercial authorizations. Microsoft office products… more
- WMCHealth (Hawthorne, NY)
- …NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office Union: No Position: Full Time ... + Demonstrated knowledge of healthcare management, collections management, Medicaid and Medicare . + Experience in establishing and managing claim denial activities,… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …mail messaging systems, email, and use of various software applications to support operational processes. + Maintain appropriate training levels for duties and ... to detail, and exercise professional work ethics. + Familiarity with applicable Medicare and Medicaid programs preferred. + Understanding of HIPAA, Privacy, Safety,… more
- Humana (Albany, NY)
- …its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Catholic Health Services (Roslyn, NY)
- …on Long Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job Details An ... outcomes. Address patient concerns, answer questions, and provide emotional support . Maintain accurate and up-to-date electronic medical records, documenting patient… more
- Highmark Health (Albany, NY)
- …enterprise risk taxonomy. Through matrixed leadership with Risk Operations and with support from Risk Enablement, the incumbent monitors and tracks the delivery of ... and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance… more
- Molina Healthcare (Buffalo, NY)
- …chart retrieval, file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, ... and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and guidelines of risk adjustment… more
- WMCHealth (Margaretville, NY)
- …Mountainside Residential Care Center City/State: Margaretville, NY Category: Nursing Support Department: Skilled Nursing Union: Yes Union Name: UFCW Position: ... award-winning 82-bed enhanced care facility. We have received a 5-Star rating from Medicare 's "Nursing Home Compare" and 5-star ratings in US News & World Report's… more