- 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
- HomeSafe Alliance (Albany, NY)
- **Title:** Billing and Collections Specialist **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household ... position** . HomeSafe Alliance is seeking a highly organized Billing & Collections Specialist to support our...program + Family Support: Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program… 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
- The Institute for Family Health (New Paltz, NY)
- …responsibility include but are not limited to the following: 1. Self-pay/Sliding Fee 2. Managed Care Plans 3. Medicaid 4. Medicare 5. Commercial Plans 6. ... REVENUE CYCLE SPECIALIST II Job Details Job Location New Paltz...position requires advanced working knowledge of medical accounts receivable billing and collections. Must demonstrate the ability to complete… more
- New York State Civil Service (Poughkeepsie, NY)
- …on issues related to children and families, services and providers.* Provide support for managed care /Medicaid billing of peer services. * Address parent ... HELP No Agency Mental Health, Office of Title Advocacy Specialist 1 OR 2 (Youth), Central Office; Occupational Category...1 OR 2 (Youth), Central Office; Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T… 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
- Staffing Solutions Organization (Albany, NY)
- …and analysis associated with the transition and monitoring of vulnerable populations into managed care . Additional duties include: provide data analysis for the ... and insight to support the Bureau's complaint investigations; research and analyze Managed Care Organization (MCO) business process data to prevent/ensure… more
- Nuvance Health (Rhinebeck, NY)
- …and appeals process, as necessary. 7. Maintains communication with System departments (eg, managed care , SBO, FCC) to identify any changes, trends, or updates ... *Description* Summary: The Insurance Reimbursement Specialist is responsible for coordination and support of initiatives relative to the evaluation, processing, and… more
- New York State Civil Service (New Windsor, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... the attention of appropriate team members.* Provide guidance to all direct care staff in all areas related to Residential Habilitation.* Develop Personal Expenditure… more
- New York State Civil Service (Spring Valley, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 (NY HELPS) Occupational Category Health Care , Human/Social ... the attention of appropriate team members.* Provide guidance to all direct care staff in all areas related to Residential Habilitation.* Develop Personal Expenditure… 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
- New York State Civil Service (Queens Village, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 (NY HELPS) Occupational Category Health Care , Human/Social ... for accuracy and communicate in written form to the MSC/ Care Coordinator to correct errors upon receipt of the...to ensure OMIG Compliance. Review and assist in correcting billing discrepancy report. Additional assignments as warranted. ? Must… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Experience with healthcare insurance prior authorization/coding and performing insurance carrier/ managed care review preferred. Work Days: Monday-Friday, ... Job Summary: The Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information is… more
- Westchester Jewish Community Services (Peekskill, NY)
- …will be considered. + Prior experience in an office setting, particularly with managed care . + Strong understanding of administrative processes with mental ... Overview: WJCS is currently seeking a full-time Admitting Specialist to join our team in Peekskill, NY....health or health care settings. + Proficient knowledge of Medicare/Medicaid … more
- Astor Services (Rhinebeck, NY)
- …experience with complex medical billing and collections, preferably in a managed care setting. . Strong problem solving skills. Salary Description ... Credentialing and Authorization Specialist Rhinebeck, NY (http://maps.google.com/maps?q=6339+Mill+Streeet+Rhinebeck+NY+USA+12572) Job Type Full-time Description The… more
- Molina Healthcare (NY)
- …or equivalent combination of education and experience **Required Experience** + Min. 3 years managed care experience + Experience in one or more of the ... Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing , or similar. + Claims processing background including coordination of… more
- Healthfirst (NY)
- …Healthfirst, its Members, and Providers **Minimum Qualifications:** + Medicare and/or Medicaid managed care experience + Excellent oral and written communication ... of contact for all plan related issues including marketing, enrollment, contracting, billing and reimbursement. + Responsible for the resolution of all issues,… more
- Mohawk Valley Health System (Utica, NY)
- …, end-of-life- care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care , pay-for-performance ... and Attending Physicians to align on the level of care , patient billing status, and potential barriers...advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and… 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