- State of Maine, Bureau of Human Resources (Augusta, ME)
- Medicaid Manager for Third Party Liability Unit Augusta , Maine , United States | Community & Social Services | Full-time Apply by: Nov. 14, 2024 Apply ... of a supervisory nature in assisting in the administration of Medicaid /Medicare Third Party Liability programs and services. Responsibilities include… more
- City of New York (New York, NY)
- …Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third - Party Health Insurance, who will: Under the executive direction of the ... Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for...Mail Renewal (OMR), the Managed Care Program (MCP), and Third - Party Health Insurance. Ensuring that the three… more
- Humana (Indianapolis, IN)
- …we will be using an exciting interviewing technology provided by Hire Vue, a third - party vendor. This technology provides our team of recruiters and hiring ... The Provider Education & Outreach Representatives serve as the primary relationship manager with providers to ensure positive provider experience with Humana Healthy… more
- City of New York (New York, NY)
- …Be responsible in the temporary absence of the Third Party / Medicaid Reimbursement Director, Assistant Director, the Section Manager may assume the duties ... Medicaid transportation, Home Care Reimbursement, Premium Payment and Medicaid Reimbursement Services: MAP Third Party...Associate, Level III who will function as a Section Manager within the Third Party … more
- Mount Sinai Health System (New York, NY)
- …accounts, payment and/or charge posting, account resolution, follow-up collections ( Third party and patient), correspondence/mail distribution/, vender account ... admission and/or after admission(bilingual preferred) + Obtains and validates patient's third party health insurance. Coordinates and prioritizes insurance… more
- Kedrion Biopharma (Fort Lee, NJ)
- …in relation to Net Sales & also be the key business partner to external third - party pricing and rebate consultant. He/she will deliver high quality Net Sales ... finance objectives within his/her area, working alongside KBI FP&A Manager , Melville Plant Controller, Senior Accounting Manager ,...and denied chargebacks). + Price checks to communicate to third - party service provider for amendments. + Be… more
- Stanford Health Care (Palo Alto, CA)
- …posting and payment variance. Ensures compliance with policies and directives issued by Medicare, Medicaid , Third Party Payers, and others as needed. + ... eliminate barriers to good service. Maintain relationships with all internal applicable parties, third party payers, and other agencies, as appropriate. + Serve… more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- …all Shared Services Affiliate Providers are enrolled, credentialed, and revalidated timely with Medicaid , Medicare, and all contracted Third - Party Payers in ... favorable agreements with shared service affiliates. + Engages in proposed revision of Third - Party payer contracts and/or consideration of new payer contracts as… more
- University of Rochester (Rochester, NY)
- …trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third - party payer audits. ... billing application, Microsoft Word, Excel, Access, Email, various clearinghouse software, third party claims software, and various payer websites. **Typical… more
- Walgreens (Mahomet, IL)
- …the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid , and all other third - party payers, as well as ... at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures...pharmacy department systems and equipment. + Maintains awareness of third party pharmacy business opportunities, and assures… more
- Walgreens (Marion, IN)
- …billing and submission of claims to government- sponsored health care programs, including Medicare, Medicaid , and all other third - party payers, as well as ... at the site. Performs all duties of the Pharmacy Manager in their absence. + Models and shares customer...pharmacy department systems and equipment. + Maintains awareness of third - party pharmacy business opportunities and assures proper… more
- The New Jewish Home (Manhattan, NY)
- …billing experience preferred 3. Minimum 2 years Supervisory experience 4. Knowledge of Medicare, Medicaid and Third party billing 5. Medicare and SNF billing ... The Finance Department is seeking an Accounts Receivable Manager to join our team! This position will...monthly billings 6. Monitor and ensure timely submission of Medicaid applications and recertifications 7. Monthly cash reconciliation 8.… more
- AdventHealth (Altamonte Springs, FL)
- …reporting + Update, review, and maintain supporting documentation for the Medicare and Medicaid third party settlement of each AdventHealth hospital ... assigned are performed under the oversight of the Reimbursement Manager . **The value that you bring to the team:**...Medicaid and follow-up as appropriate + Discuss hospital third party settlement results with hospitals' financial… more
- AdventHealth (Altamonte Springs, FL)
- …. Update, review, and maintain supporting documentation for the Medicare and Medicaid Uniform Contractual Worksheet- Third Party Settlement (UCW-TPS) ... The Reimbursement Analyst is responsible for assisting the Reimbursement Manager with the preparation of work papers for the...Medicaid and follow-up as appropriate . Discuss hospital third party settlement results with hospitals' financial… more
- Kepro (Albany, NY)
- …Enrollment, Provider Credentialing and Screening and cross-module Integration with Claims, Third Party Liability (TPL) and Pharmacy Benefits Management (PBM) ... Albany NY Acentra is looking for a Business Analyst Manager to join our growing team. Job Summary: Business...relates to Provider Enrollment and other modules in the Medicaid to ensure high quality. + Demonstrates advanced expertise… more
- University of Rochester (Rochester, NY)
- …share with Supervisor and or Manager . Assist Supervisor with Medicare and Medicaid credit balance audits, and third - party payor audits + Coordinate ... Emdeon (Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites.… more
- Bassett Healthcare (Cooperstown, NY)
- …340B oversight workgroups/committees are assisted and led by this position. The 340B Manager is responsible for Third Party Administrator oversite and ... in the high importance 340B conversations between system directors and leadership, third party vendors and contract pharmacies involved in Health Network… more
- Molina Healthcare (Bronx, NY)
- …clinical staff. + Experience working within applicable state, federal, and third - party regulations. **Required License, Certification, Association** + If ... Whole Health by Molina_** **is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. These plans streamline the delivery of long-term services… more
- University of Rochester (Rochester, NY)
- …within Patient Financial Services. Receives, documents, tracks and compiles responses to Medicare, Medicaid and third party payor audits within the ... Responsibilities **Position Summary:** **This position oversees outpatient Medicare, Medicaid and third - party payor audits, and directs all responses to… more
- Johns Hopkins University (Lutherville, MD)
- …are completed and reported. + Educate providers and clinic staff regarding third party payer requirements, managed care contracts, and billing/documentation ... project management skills + Understanding of changing reimbursement policies and third - party reimbursement. + Previous supervisory experience. + Related master's… more