- Humana (Albany, NY)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Albany Medical Center (Albany, NY)
- …coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal ... Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Saratoga Hospital is a 171+ bed, independent, locally-governed community hospital and a leading healthcare provider in the region. The ... or Physician Assistant serves as an additional patient care provider , augmenting and extending patient services provided by the...Quality Rating under the US Centers for Medicare & Medicaid Services Hospital Compare Initiative + Commission… more
- Albany Medical Center (Albany, NY)
- …for sequencing diagnoses and procedures by following the ICD-10-CM/PCS and Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal ... codes following the ICD-10-CM/PCS official coding guidelines. Query the provider (physician or other qualified healthcare practitioner)for clarification and/or… more
- New York State Civil Service (Albany, NY)
- …for New York State hospitals. This position will also review and approve provider rate appeals and statewide budget packages, provide guidance for State ... Plan Amendments, provide insight into various Medicaid program areas for budget making decisions, and oversee...and implementation of pricing methodologies and mechanisms used for reimbursement of hospital services; Reviews rate appeals… more
- Humana (Albany, NY)
- …first** The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
- Cardinal Health (Albany, NY)
- …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
- Ellis Medicine (Schenectady, NY)
- …degree preferred. + Experience: 2 years of accounts receivable experience in a hospital or healthcare setting preferred. + Must have knowledge of medical records, ... patients. + Claims in dispute with payers are reviewed daily to ensure the provider and payers are in agreement for appropriate claims reimbursed. + Monthly meetings… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) *Understanding of Hospital formulary with guidance of RSD and ... to fulfill customer needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist) *Gather and provide customer insights to Marketing teams… more
- MVP Health Care (Saratoga Springs, NY)
- …environment, with some experience in the health care industry such as a hospital , medical office, or health insurance company. + An Associate's degree or equivalent ... individuals and seamlessly enrolling them in a variety of plans including Medicaid , Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP,… more