- 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
- 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)-Urgent Care -New York...third party payer eligibility requirements for private and hospital billing + Utilizes and understands basic medical terminology; able… more
- AmeriHealth Caritas (Robbinsville, NJ)
- Founded in 1995,; **PerformCare** **(R)** ;is a national behavioral health managed care organization that helps health plans and customers provide comprehensive ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… 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
- 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
- Centene Corporation (Trenton, NJ)
- …experience. 0-2 years of provider relations or contracting experience. Knowledge of health care , managed care , Medicare or Medicaid. Bachelor's degree in ... healthcare or a related field preferred. Claims billing /coding knowledge preferred. **Licenses/Certifications:** Current state driver's license. Pay Range: $22.36 -… more
- Mount Sinai Health System (Brooklyn, 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