Manager, Medicare Claims - New York

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Manager, Medicare Claims who will oversee end-to-end claims services for provider segments. · We are seeking someone with strong analytical skills and ability to manage operations ...

This position oversees end-to-end claims services for provider segments ensuring business goals are met. · Streamline shared processing to reduce management by exception · Set operational processes to align with market trends and customer demand · ...

+ · Analyze claims overpayment on Medicare Advantage Product Line · Strong facets experience requiredEffective communication with executive leadership required · ...

The Bridge offers supportive housing and behavioral health services to vulnerable New Yorkers facing behavioral health and substance use challenges. · ...

We offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. · The Patient Financial Services Coordinator must have claim submissions experience & follow-up on Ho ...

We are seeking a Spanish speaking Bilingual Health Plan Business Analyst with strong experience in Medicare Advantage and health plan operations. · ...

We are seeking a Bilingual Health Plan Business Analyst with strong experience in Medicare Advantage and health plan operations.This role will focus on analyzing operational processes and building and documenting SOPs that support compliant, efficient health plan operations. · ...

This position will play a key role in reviewing and analyzing medical billing and coding for processing and accurately code encounters for reimbursement.This position may also provide education to providers and staff on correct documentation, coding, and billing of visits as well ...

MetroPlusHealth busca un Claims Adjustment Specialist I para analizar reclamaciones de salud post-pagos estandarizadas o complejas e identificar posibles errores en el pago. · ...

We are looking for an experienced healthcare analyst to join our team. · An experienced healthcare analyst with at least 2 years of experience working with healthcare data. · Knowledge of clinical and claims data. · Proficient in Excel and SQL. · ...

The Claims Supervisor is responsible for the daily oversight of Medicare claims processes including but not limited to the inquiry and resolution process, · adjudication process,user acceptance testing and quality assurance training,and reporting.Liaises between claims staff and ...

The Bridge offers supportive housing and behavioral health services to vulnerable New Yorkers facing behavioral health and substance use challenges. As a recognized leader in developing and operating supportive housing and community-based programs, The Bridge has 70 years of expe ...

The challenges of affordable healthcare continue to create new opportunities.Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. · ...

The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. · This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities ...

We are looking for a Medical Biller with experience in multispecialty billing and strong knowledge of medical billing and insurance reimbursement processes. · Timely and accurately submit claims to both private and public insurance carriers. · Investigate and resolve denied or un ...

To oversee the performance of vendors who are delegated for the claims processing function to ensure delegates meet and are aligned with EH standards. · Administer audits of the delegate claims processing function: ...

This position is responsible for the accurate and timely response to Behavioral Health claim inquiries received from external entities. · Research and analyze BH claims inquiries and adjustment requests to determine payment accuracyAnalyze data using multiple systems. · ...

Vivo HealthStaff is seeking a highly qualified and motivated MD/JD Attorney who is a previously practicing physician and licensed lawyer to join the Healthcare Practice Group of a nationally recognized law firm. This role focuses on advising healthcare clients on billing, reimbur ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · ...

The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities ba ...