- 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
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- University of Rochester (Pittsford, NY)
- …and addressing consequential barriers to securing public benefits which may impact hospital reimbursement and timely discharge. + Possesses a nuanced ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- Catholic Health Services (Roslyn, NY)
- Overview St Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… 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
- Catholic Health Services (Roslyn, NY)
- Overview St. Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the ... Franciscan Missionaries of Mary, the hospital is New York State's only specialty designated cardiac...a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job… more
- Calvary Hospital (Bronx, NY)
- …in the ongoing marketing of programs and services provided by Calvary Hospital . Works cooperatively with other departments, provider referrers and managed ... by Calvary Hospital . Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital . Oversees the appeals… more
- University of Rochester (Rochester, NY)
- …staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital and ensure the accuracy of account reconciliation. ... knowledge of all current third-party coverage, federal and state billing, and reimbursement and compliance regulations and procedures. + Serves as a contact to… more
- Crouse Hospital (Syracuse, NY)
- Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We've combined a family-friendly culture with a passion to provide the best ... provides guidance on requirements set forth by the Centers for Medicare and Medicaid Services (CMS), other third-party payers, and the American Hospital … more
- WMCHealth (Valhalla, NY)
- Financial Reimbursement Specialist - On Site Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: ... of Financial Planning and the Director of Budget & Reimbursement in third party analysis and preparation of internal...+ Gathers data in preparation of Annual Medicare & Medicaid Cost Reports. + Aid in the preparation of… more
- Catholic Health Services (Smithtown, NY)
- …for improvement or appeal. + Regulatory Compliance: Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare, Medicaid ) and ensure ... Siena Nursing and Rehabilitation and St. Catherine of Siena Hospital are proud members of Catholic Health and have...to offer care to those in need and to provide a spirit of mutual respect while upholding our… more
- University of Rochester (Rochester, NY)
- …to access for patients. Remains knowledgeable of private payer, Medicare, and Medicaid structure systems and reimbursement processes. Respond to all patient, ... and within the required timeframes. + Documents and tracks the status of provider enrollment applications for Medicaid , Medicare, and some Commercial Payers that… more
- Catholic Health Services (Rockville Centre, NY)
- …complex data analysis. The ideal candidate possesses in-depth knowledge of Medicare/ Medicaid reimbursement , managed care contracts, and healthcare finance. Key ... cost reporting, or financial analysis. + Strong knowledge of Medicare and Medicaid regulations, reimbursement methodologies, and healthcare payment systems. +… more
- New York State Civil Service (Albany, NY)
- …and recommending payment or denial, as well as review requests for enhanced reimbursement for Out-of-State Hospital services and participating in the review of ... health; Familiarity with relevant regulations, policies, and procedures related to Medicaid programs and healthcare reimbursement ; Strong problem-solving skills,… more
- University of Rochester (Brighton, NY)
- …Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and New York State ... Medicaid ). + Manage disputes, risks and projects related to...to the Office of Integrity and Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare… more
- Guidehouse (New York, NY)
- …and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position is 100% ... for charge reconciliation audits + Escalate departments noncompliant with policy and provide action plan when needed + Responsible for the daily resolution of… more
- University of Rochester (Rochester, NY)
- …and from Strong Hospital . Differentiate appropriate FAO to cover the costs, provide private insurance info to third party and send requests to SMH Accounts ... the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Provide day-to-day information and direction to the Program Administrator,… more
- Stony Brook University (East Setauket, NY)
- …Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert knowledge of ... Specialist** will act as an operational leader in the Hospital 's Business Office to analyze, track, and pursue the...volumes and staffing are aligned. + Audits staff work; provide education on best practice. + Supervises junior staff.… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more