- The New Jewish Home (Bronx, NY)
- The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care ... Specialist is responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must... billing is required + Must Understand Medicare, Managed Care , Medicaid (NY) billing … more
- Prime Healthcare (Denville, NJ)
- …, Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience +… more
- Mount Sinai Health System (New York, NY)
- …information utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as necessary ... **Job Description** **Medical Office Specialist (Certified Medical Assistant)-Adult Primary Care ...third party payer eligibility requirements for private and hospital billing + Utilizes and understands basic medical terminology; able… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Education Department, State Title Administrative Specialist 1, Administrative Specialist Trainee 1, Administrative Specialist Trainee 2, ... the open-competitive minimum qualifications for this position. The qualifications are:Administrative Specialist Trainee 1 (NS, Equated to SG-13):* A bachelor's or… more
- Weill Cornell Medical College (New York, NY)
- …a timely manner. + Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors. + Participates in annual and ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...services billed and all documentation standards are met for billing . + Analyze for invalid denial trends, payer specific… more
- Prime Healthcare (Denville, NJ)
- …, Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
- CenterLight Health System (Flushing, NY)
- …Experience: Eight or more years of insurance experience within a healthcare or managed care setting (preferred) Claims adjudication experience Knowledge of MLTC/ ... JOB PURPOSE: The Claims Specialist will support department operations related to provider...with providers as appropriate to assist in communicating proper billing procedures and to explain company coverage guidelines +… more
- Acacia Network (Bronx, NY)
- …Minimum 2 years of experience in HRA Public Assistance, Food Stamp, Medicaid, managed care plans, Supplemental Social Income (SSI), Social Security Disability ... Third Party Billing Entitlement Specialist Bronx, NY : 2/12/2024 Job Description Job ID#: 3795 Job Category: Third Party Billing Position Type: Full Time… more
- Mount Sinai Health System (New York, NY)
- …information utilizing internal or electronic sources. 25. Obtains and documents managed care referrals, required pre-certifications and authorizations as ... **Job Description** The Medical Office Specialist offers clinical and medical office support to...office support to physicians and surgeons. Assists in patient care and administrative duties necessary to deliver quality patient… more
- Mount Sinai Health System (New York, NY)
- …information utilizing internal and electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as ... **Job Description** + The Medical Office Specialist offers clinical and medical office support to...office support to physicians and surgeons. Assists in patient care and administrative duties necessary to deliver quality patient… more
- Prime Healthcare (Denville, NJ)
- …position is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. ... Qualifications Education and Work Experience + Minimum four years hospital billing and collection experience required. + Medical and Insurance terminology essential.… more