- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members, providers, and pharmacies have access to all ... members, providers, pharmacists, pharmacies, and technicians to meet departmental and CMS standards. + Enforce HIPAA compliance standards and regulations while… more
- Monroe County, NY (Rochester, NY)
- …in accordance with New York State Department of Health and Center for Medicare and Medicaid Services ( CMS ) Regulations. The employee reports directly to, ... and works under the general supervision of a Nursing Administrator or other higher level staff member with wide leeway allowed for the exercise of independent judgement and decision making in the performance of assigned duties. General supervision is exercised… more
- Northwell Health (New Hyde Park, NY)
- …and maximize case collections. + Reviews and recommends improvements for financial management of each billing area. + Performs related duties as required. All ... relevant experience, required. Preferred Experience + In-depth knowledge of Medicare and Medicaid billing regulations, guidelines, and compliance requirements (eg,… more
- Northern Rivers Family Services (Albany, NY)
- …entries, and reconciliation tasks assigned by CFO, Controller, Director of Revenue Cycle Management or AR Manager based on workload. You will report to the Chief ... Financial Officer, until the Director of Revenue Cycle Management position is filled and trained, and will work...provide billable services or are required to register with Medicaid/ Medicare based on their credential, department and position. +… more
- Molina Healthcare (Albany, NY)
- …Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and reports ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. + Provides… more
- Northern Rivers Family Services (Troy, NY)
- …get: + National Provider Identification (NPI)- issued by the federal Center for Medicare and Medicaid Services ( CMS ). All electronic prescriptions in NYS require ... an NPI. Claims processing functions also require the NPI of nurse practitioners and physicians. + Federal Drug Enforcement Administration (DEA)number - issued by the United States Department of Justice Department DEA to nurse practitioners and physicians to… more
- Fresenius Medical Center (Fairport, NY)
- …specific certification as defined by Center for Medicaid/ Medicare ( CMS )Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated ... machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . **RECORD KEEPING:** + Complete and document ongoing… more
- Ellis Medicine (Niskayuna, NY)
- …State Department of Health (NYSDOH), American College of Radiology (ACR), Centers for Medicare & Medicaid Services ( CMS ), and Joint Commission (TJC) standards + ... Complete and update all employment requirements, including all required continuing education courses, continuing experience requirements, Employee Health, Radiology competencies, and credentials + Performs all functions of the modality within the scope of… more
- Stony Brook University (East Setauket, NY)
- …role. + Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge ... and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software. + Interpret billing, coding and… more
- Guthrie (NY)
- …care directly to where patients need it most: home. As a 4-star CMS -rated Medicare -certified agency, we deliver skilled nursing, therapy services, social work, ... in the field. Position Summary: Responsible for the case management and provision of quality home nursing services to...and ancillary home health services (direct care and case management ) to ensure that all patient's needs are met… more