- SUNY Upstate Medical University (Syracuse, NY)
- …resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance . Work closely with clinical teams across seven Primary ... is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare ...Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care… more
- Teresian House (Albany, NY)
- …Ensuring accurate and timely billing of all services rendered to residents in compliance with NYS Medicaid, Medicare , Mafae Care Organizations (MCO's) and ... Teresian House in your choice for employment! The Nursing Home Billing Specialist is responsible for: + Timely insurance verification of all referrals for… more
- Justworks (New York, NY)
- Benefits Operations Specialist , Medical Benefits New York, New York Apply Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great benefits, ... to the Insurance Benefits team. As the Medical Insurance Benefits Operations Specialist , you will be tasked with developing processes and strategies to ensure… more
- Deloitte (New York, NY)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... concerns, financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of clinical… more
- Guidehouse (New York, NY)
- …various types of authoritative information. + Maintains current knowledge of Medicare , Medicaid, and other third-party payer billing compliance guidelines ... revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim… more
- Highmark Health (Albany, NY)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Zurich NA (Albany, NY)
- Sr. Claims Specialist (Workers Compensation, NE Region) 129546 Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for or our ... Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation claims of… more
- New York State Civil Service (Brooklyn, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade ... retaining, and improving self-help, socialization, and adaptive skills. The Habilitation Specialist 1/Process Owner will support the Quality Management Department by… more
- WMCHealth (Valhalla, NY)
- Credentialing Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Medical Staff ... Internal Applicant link Job Details: Job Summary: The Credentialing Specialist is responsible for processing initial applications and reappointment applications… more
- Northwell Health (Valley Stream, NY)
- …Description Coordinates assessment of patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health requirements, ... assessing residents for Medicare and managed care benefits. Ensures continuous maintenance of...of all disciplines and care plans to ensure regulatory compliance . + Reports deficient assessments promptly to effect immediate… more
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