- Helio Health Inc. (Syracuse, NY)
- …insurance companies to work claim denials. + Prepares weekly and monthly reports of Medicaid billing for the Manager of Revenue Cycle Management and Medical ... Review other methods of payment such as third-party and Medicaid . + Assist patients with Medicaid applications,...of patients. Ensure patients are directed to the appropriate area after they have checked in. + Initiate cash… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Professional Discipline and/or internal referral for quality review by the applicable business area . + Acts as primary point of contact with law enforcement for ... the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association… more
- The Salvation Army (Syracuse, NY)
- …Care Coordinator Emergency Practical Assistance Services The Salvation Army, Syracuse Area Services FT, Hourly at $23.00/hour to start SCC-Social Care Coordinator ... As the SCC you will serve as both care manager and coordinator for the Salvation Army's participation in...Care Coordinator is the direct point of contact for Medicaid Members with ongoing HRSNs (health-related social needs) and… more
- Helio Health Inc. (Syracuse, NY)
- …concern arises. + Communicates insurance trends and unresolved appeals to the billing manager for further action. + Demonstrates adaptability and accept change in a ... network. + Present and ready for work in designated area at assigned time and dressed in appropriate work...assigned duties. + Prepares weekly and monthly reports of Medicaid billing for the Director of Billing/Medical Records Operations.… more
- Elderwood (Buffalo, NY)
- …vested employer match up to 4% Substantial Referral program Reporting to the Manager of Clinical Operations, the Care navigator assists the clinical staff with case ... the call needs to be routed to a care manager . + Completing call audits + Coordinating and managing...degree or equivalent work experience + Demonstrated knowledge of Medicaid product information + Basic understanding of health diagnoses… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market - ... outreach and community events. Essential Accountabilities: Level I * Educates Medicaid , Medicare, and Commercial members on healthcare benefits, and community… more
- University of Rochester (Rochester, NY)
- …with staff, reviews the weekly and monthly quality indicators in the billing area . + Initiates corrective action or recommends solutions as appropriate. + Prepares ... notes and adjustments. + Attends monthly team meetings with the Outpatient Manager and appropriate payer representatives. + Runs, distributes and ensures resolution… more
- Stony Brook University (Stony Brook, NY)
- …for environmental issues. + c. Lab IT Implementation Team: Specimen Receiving LIS System Manager . As LIS System Manager of the department performs the following: ... billing processes and troubleshooting billing questions according to NYS DOH, Medicare, Medicaid and patient insurance regulations. d. Monitors the Reference Lab ADT… more
- Somatus (Bronx, NY)
- …extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs. The individual ... Responsibilities + Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health management plans and goals. + Establish positive,… more
- City of New York (New York, NY)
- …provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. Homemaking, ... maintain stable, healthy lives. Under the direction of the HASA Regional Manager , with latitude for independent judgment, initiative and decision-making the Center… more
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