- WMCHealth (Valhalla, NY)
- Managed Care Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28110) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction… more
- Novo Nordisk (Yorktown Heights, NY)
- …of patients with obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and ... identify and leverage business opportunities + Analyze impact of managed care in the territory and its...PLEASE INCLUDE ALL POSITIONS IN JOB FAMILY * Obesity Care Specialist 1 - $87,000 to $106,000… more
- The Institute for Family Health (New Paltz, NY)
- …of responsibility include but are not limited to Self-pay/Sliding Fee, Managed Care Plans, Medicaid, Medicare, Commercial Plans,Posting payments/denial/charges + ... REVENUE CYCLE SPECIALIST III Job Details Level Experienced Job Location...+ Understanding of FQHC, Article 28, Article 31, CMS, managed care and commercial payers + Understanding… more
- MarketSource (Paterson, NJ)
- 127477BRTitle:FCA Recall SpecialistJob Description: Field Canvasser/Recall Specialist MarketSource Inc., an Allegis Group Company, develops and delivers innovative ... managed sales solutions for enterprise customers. MarketSource provides the...inclusion, and exemplary corporate practices. Summary The Field Canvasser/Recall Specialist will be responsible for effectively managing a territory… more
- New York State Civil Service (Thiells, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care , Human/Social Services Salary ... 131 of the Education Law and ABMS standards of care .As a Medical Specialist , you would actively...System (ERS), which is recognized as one of the best- managed and best-funded public retirement systems in the nation.Professional… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- … Specialist works with the Quality Program Coordinator and the Manager of Managed Care Contracting to support programs related to quality improvement and ... JOB DESCRIPTION JOB TITLE: Quality Engagement Specialist POSITION SUMMARY: The Quality Engagement Specialist...patients attributed to PMG based off insurances to establish care . + Participates in data validation for EHR reports… 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. #LI-BM2 Qualifications EDUCATION, EXPERIENCE, TRAINING… 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 ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications Education and Work Experience +… more
- Prime Healthcare (Denville, NJ)
- …Specialist , Billing 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. #LI-BM2 Qualifications Education and Work Experience… more
- New York State Civil Service (Middletown, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care , Human/Social Services Salary ... Code 10941 Duties Description Primary Duties and ResponsibilitiesAs a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- Erickson Living (Pompton Plains, NJ)
- …Cedar Crest Village by Erickson Senior Living We are hiring a part time Fitness Specialist to join our team. Ideal candidate would be available for 4 days per week ... at 6 hours per day. The Fitness Specialist will assess, monitor, and develop individual fitness programs...+ Onsite medical centers, providing wellness visits and sick care for all employees over 18 years of age.… more
- New York State Civil Service (Middletown, NY)
- …HELP No Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary ... DUTIES AND RESPONSIBILITIES:* Collaborates with individuals, family members, advocates, care managers, and service providers to determine strategies for service… more
- Access: Supports For Living (Middletown, NY)
- …portals. + Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid, Medicaid Managed Care and other payers' billing regulations for all programs. + ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Feb...Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the financial management… more
- WMCHealth (Valhalla, NY)
- …and prepares specializedreports. + Perform telephonic clinical reviews to Behavioral Health Managed Care Organizations in order to obtain ongoing authorization. ... Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care Mgmt-WMC Health Union: No Position: Full Time Hours:… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to validate patient identity. Conducts intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination of ... as a leader of positive change. The **Patient Access Specialist ** is responsible for all Inpatient and Outpatient Patient...ensure patient is in appropriate status and level of care . + Initiate real time eligibility query (RTE) on… more
- Corza Medical (Parsippany, NJ)
- Senior Regulatory Affairs Specialist - Parsippany, NJ/Randolph, NJ **Location of Work** Parsippany, NJ; Randolph, NJ **Employment Type** Full Time Employee **Job ... they do. **Job Purpose Summary** + The **Senior Regulatory Affairs Specialist ** position is responsible for preparing regulatory submissions and registration… more
- Hackensack Meridian Health (Hackensack, NJ)
- …& levels of appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate + Utilization ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity… 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. ... Bachelor's degree preferred Connect With Us! (https://careers-primehealthcare.icims.com/jobs/188553/reimbursement- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc LocationUS-NJ-Denville… more
- Ricoh Americas Corporation (Yorktown Heights, NY)
- …files of such records. + Maintain the highest levels of customer care while demonstrating a friendly and cooperative attitude. + Perform various departmental ... any location and harness the power of information-how it is collected, stored, managed , and shared-to unlock the potential in every organization. We deliver services… more
- Erickson Living (Pompton Plains, NJ)
- …Cedar Crest Village by Erickson Senior Living Join our team as a Communications Specialist (Front Desk), a crucial role within our community. As the first point of ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more