- Highmark Health (Buffalo, NY)
- …the Blue Cross Blue Shield Association (BCBSA), accreditation bodies, executive management , plan partners, group customers, and employee level performance. The ... agreements, and (f) employee performance quality. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
- Catholic Health Services (Smithtown, NY)
- …of 15-17 patients Able to adapt and be flexible to new CMS regulations Hospitalist Qualifications: Doctorate degree in Medicine or Osteopathic Medicine ACLS/BLS ... Certified Trained in Family Practice or Internal Medicine Board Certified or Eligible in Internal Medicine/Family Practice Salary Range Starting from USD $165.00/Hr. This range serves as a good faith estimate and actual pay will encompass a number of factors,… more
- FlexStaff (Bronx, NY)
- …team (IDT) member who assigned to a PACE member in compliance with CMS PACE regulatory requirement. JOB RESPONSIBILITIES: + Carries out the agency's mission, ... environmental factors. + Identifies complete, accurate and logical Uniform Assessment System (UAS) for NY and appropriate sequencing of diagnoses in collaboration… more
- Rochester Regional Health (Rochester, NY)
- …it + Obtain insurance information through various searches when not in the system + Develop and implement training plan + In collaboration with managers, provide ... established patients. + Review Oncology infusion orders for medical necessity per CMS , Manufacturer, or NCCN guidelines. Work with physicians if these specific… more
- Canandaigua National Bank & Trust (Canandaigua, NY)
- …or related fields normally required. + A minimum of three (3) years' experience with Content Management Systems ( CMS ), updating content , page development ... is responsible for supporting a variety of web and related channel content updates; page development; and collecting, analyzing, reporting data with the goal… more
- Molina Healthcare (Albany, NY)
- …Action Items (SAIs) including assisting and executing projects and tasks to ensure CMS and State regulatory requirements are met for pre-pay edits, post payment ... (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules. +… more
- WMCHealth (Warwick, NY)
- …St Anthony Community Hospital City/State: Warwick, NY Category: Nursing/Nursing Management Department: Ambulatory Surgery Union: NO Position: Full Time Hours: ... of current policies and procedures. . Participates in labor management conferences, making recommendations as required. . Performance Improvement/Quality. .… more
- City of New York (New York, NY)
- …services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas provide by DOHMH to meet NYS Article 6 requirements. DOHMH ... claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy following CMS and other third-party insurance guidelines.- - Monitor EDI denials in… more
- Trinity Health (Schenectady, NY)
- …established criteria of the acute rehabilitation center and with compliance to CMS regulations. + Education of clients, family members, referral sources, and ... is a MUST + Demonstrated expertise in analysis, decision making, time management , oral and written communication, and computer use + Excellent assessment skills… more
- MTA (Brooklyn, NY)
- …suite. Applicants must be willing to learn additional programs such as the Commodity Management System ( CMS ), TALON, Tunnel view, DRAW, and Peoplesoft. The ... also be responsible for assisting in hand-held tool insulation contract management . Will be dealing directly with Track Engineering, procurement division, supply… more