- Arnot Health (Bath, NY)
- …of the Long Term Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time ... Nursing (DON) all nursing care activities based on the philosophy of Arnot Health using initiative and independent judgment to provide the best available services to… more
- Humana (Albany, NY)
- … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... ICD-10 codes. + Member service + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care...help people with Medicare , or both Medicare and Medicaid, achieve their best possible health… more
- Northwell Health (Westbury, NY)
- …Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare /non- Medicare charts for ... Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Job Responsibility… more
- Option Care Health (New Rochelle, NY)
- …competency is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as ... Acts as Administrator and/or Director of Nursing of the Home Health Agency for Medicare ...using find and replace, undo, spell check, track changes, review pane and/or print functions). + Basic level skill… more
- Humana (Albany, NY)
- …relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , DME, skilled nursing facility and waiver requests. The Medical ... management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience… more
- Mount Sinai Health System (New York, NY)
- …proficiency in the procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: ... party payers, accrediting bodies, insurance /PBM companies, government peer review organizations, accrediting bodies,external partners, and referring physicians. The… more
- Northwell Health (Westbury, NY)
- …Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Conducts Home Health Resource Group (HHRG) Validation to ensure the ... + Applies coding rules and regulations to the validation review process. + Reviews codes on Medicare /non-...range for this position is $90,000-$145,000/year It is Northwell Health 's policy to provide equal employment opportunity and treat… more
- New York State Civil Service (Thiells, NY)
- …of discharge summaries prior to accepting an individual back into the group home residence.* Review medical information for new admissions to a residence ... Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 Bargaining Unit PS&T -… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Advisor in Government Services you will be directly supporting Medicare Part D members and providers with requests related… more
- Mohawk Valley Health System (Utica, NY)
- …Summary The Billing Accounts Receivable Analyst is responsible for processing all VNA/ Home Care Services claims to primary and secondary payers promptly and ... to promote financial stability within the organization. Experience in billing Medicare , Medicaid, Commercial Insurance, HMOs, and Worker's Comp/No Fault is required.… more