- Outreach Development Corporation (Brentwood, NY)
- …client fees, issuing receipts and recording information in the computer. Collecting all Medicaid client cards on a daily basis and swiping card using Medicaid ... machine. Reporting any benefit denials to appropriate staff. + Maintaining efficient and understandable filing system for administrative and clinical records; updating filing system on a periodic basis. Ensuring charts are well organized. + Maintaining a… more
- Spectrum Health and Human Services (Orchard Park, NY)
- …findings. + Support programs in achieving compliance with OMH, OASAS, DOH, Medicaid , and payor audit requirements. + Participate in licensing visits, accreditation ... Understanding of federal, state, and local regulations, including OMH, OASAS, Medicaid , and accreditation standards. + Knowledge of continuous quality improvement… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to governmental agencies (eg APS/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit (SIU) or designated internal/external ... Departmental policies and ensures all regulatory requirements such as DOH, CMS, Medicaid , and accreditation requirements such as NCQA, URAC and HEDIS functionalities… more
- Humana (Albany, NY)
- …or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare, Medicaid , and DSNP encounter processes and policies. + Working knowledge of ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Aveanna Healthcare (Buffalo, NY)
- …all-inclusive and may evolve as organizational needs change. + As a Medicare/ Medicaid provider, employees must meet all required health and vaccination standards, ... applicable medical or religious exemptions. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Outreach Development Corporation (Brentwood, NY)
- …due diligence in the delivery of quality care in line with agency Medicaid Compliance Plan and systems of accountability. + Insure communication through the ... and/or the supervisory structure of any violation of non-compliance with the agency's Medicaid compliance plan and personnel policy and procedure. + Each role at… more
- City of New York (New York, NY)
- …Family Independence Administration Model Center, including those applying for Public Assistance, Medicaid , and Food Stamps benefits, as well as those who are ... associated with each service area. - Hand out appropriate Public Assistance, Medicaid and Food Stamps Application Kits to individuals applying for benefits; review… more
- Access: Supports For Living (Middletown, NY)
- …personal health and life goals. Care managers provide services to individuals who are Medicaid recipients as well as people who are not eligible for Medicaid . ... Description of Duties: + Manage care coordination related to all health care services and social determinants of health needs. + Facilitate engagement, follow-up care, and connections. + Assist in navigating the healthcare system. + Collaborate with all of the… more
- City of New York (New York, NY)
- …on behalf of DSS and assert liens and claims against Public Assistance and Medicaid recipients' personal injury awards and estate assets. SLRLU defends the agency in ... state courts on complex litigation matters including but not limited to Estates, Medicaid recovery, and other areas of law as necessary. Assign, review, revise and… more
- City of New York (New York, NY)
- …administrative staff assisting with data collection and analysis for agency Medicaid collections efforts. - Oversee the data collection and analysis reporting ... as outside entities including banks, and private attorneys seeking documentation of Medicaid expenditures. 4 World Trade Center, New York, NY Monday through Friday… more