- Saratoga Hospital (Saratoga Springs, NY)
- …environment. The HIM Specialist is responsible for supporting the health information management processes within our healthcare system . This entry-level position ... our community. As part of the Albany Med Health System , we combine advanced technology with a deeply personal...understanding of Patient-Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services ( CMS ) quality measures… more
- Elderwood (North Creek, NY)
- …! Elderwood at North Creek has earned a 4-star rating from the Centers for Medicare and Medicaid Services ( CMS )-exceeding both the New York state average (3.33) ... adjusts schedule to meet the needs of the facility. + Utilizes electronic timekeeping system as directed. + Recognizes and follows the dress code of the facility… more
- Elderwood (North Creek, NY)
- …! Elderwood at North Creek has earned a 4-star rating from the Centers for Medicare and Medicaid Services ( CMS )-exceeding both the New York state average (3.33) ... and the national average (3.32). This distinction reflects our commitment to quality care, strong staffing, and high standards in safety and health outcomes. When you join our team, you become part of a facility that residents and families trust. #Talroo… more
- Stony Brook University (Commack, NY)
- …Hospital, Stony Brook Eastern Long Island Hospital, Stony Brook Clinical Practice Management Plan, Inc., and Meeting House Lane Medical Practice, PC._ **Duties of ... Quarterly Database Review, Internal and External Roster Review, Monthly Expirables Management Review, Service Location Review, Billing Address Review. + Maintain… more
- WMCHealth (Valhalla, NY)
- …CDM regulatory changes. + Researches technical guidance in UB-92 Editor, CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and ... and works with patient billing regarding bundling and unbundling services as delineated in CMS and CCI edits. + Coordinates and serves as liaison with CDM software… more
- The New Jewish Home (Bronx, NY)
- …staff as required. o Leads the quality assessment, quality program management and quality 2. Performance improvement strategies for TNJH in collaboration ... with senior leadership and service delivery management . o Works to advance, develop, implement and refine...with evidenced based best practices that are compliant with CMS and NYS DOH requirements. o Facilitates and supports… more
- Humana (Albany, NY)
- …degree + 3 or more years of healthcare experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) ... and internal controls, and communicating issues and recommendations to management . Coordinates implementation and compliance with corrective action plans.… more
- Molina Healthcare (Syracuse, NY)
- …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... received from providers, improve completeness of encounter data with states, CMS , HHS to reconcile data. + Responsible for encounter submissions, rejection… more
- Humana (Albany, NY)
- …or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in English and Spanish **Work-At-Home Requirements** ... Our nurses are titled Care Managers, because our case management services are centered on the person rather than...of the business day, primarily through an auto dialer system . Environment is fast paced and requires ability to… more
- Centene Corporation (East Syracuse, NY)
- …related field or equivalent experience. 4+ years of experience in Sales, Healthcare, Medicare , CMS Regulations and/or Management . Experience in working with ... and Salesforce are strongly encouraged to apply.** **Position Purpose:** Manages either the Medicare Sales or the Broker Field Sales teams to drive and achieve… more