- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who ... Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the Medicaid eligibility… more
- New York State Civil Service (New Hampton, NY)
- …as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally ... for your services to be billed through Medicare and Medicaid . If you are appointed and lose the ability...and lose the ability to bill through Medicare and Medicaid , you may be terminated from your employment. Minimum… more
- St. John's Embrace Living (Rochester, NY)
- …patient health care information, billing, and revenue collections + New York State Medicaid and Medicare rules and regulations + Basic methods and procedures of ... privately. + Prepares and submits billing claims for Private, Medicare, Medicaid and other third-party insurances + Maintain Clearinghouse and/or Electronic Medical… more
- City of New York (New York, NY)
- …real property liens on primary residences of recipients to obtain reimbursement of Medicaid or Cash Assistance. The unit also processes all inquiries coming into the ... unit and calculates and asserts Medicaid liens on behalf of the agency. Liens &...review and signs off on cases prepared by the Medicaid (MA) Settlement staff. Ensure that benefit payment records… more
- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who ... Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the Medicaid eligibility… more
- City of New York (New York, NY)
- …The Office of Constituent Services /Ombudsman Case Reviewer within the Medicaid Eligibility Information Services (EIS) is responsible for interviewing Medicaid ... applicants and reviewing their documentation to determine eligibility for Medicaid . The Office of Constituent Services /Ombudsman is seeking two (2) Eligibility… more
- Humana (Albany, NY)
- …may include national clinical guidelines, CMS policies and determinations, Medicaid state contracts, clinical reference materials, internal teaching conferences, and ... Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and Medicaid requirements, and will understand how to operationalize this knowledge in… more
- Staffing Solutions Organization (Albany, NY)
- …eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium reimbursement. + Demonstrate systems processes for new ... variety of sources such as Centers for Medicare and Medicaid Services (CMS), Insurance Carriers, and others. + Ability...with work-related questions or issues. + Review and apply Medicaid Policy and identify issues with process where adherence… more
- City of New York (New York, NY)
- …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... medication and other health care services at little or no cost. Medicaid Eligibility Operations is recruiting for one (1) Principal Administrative Associate, Level… more
- Humana (Albany, NY)
- …and overall performance across the enterprise shared service functions and National Medicaid Operations functions serving the Medicaid segment. Partners with ... experience in health care process improvement, or project management, or operations ( Medicaid specific preferred) + 5+ years of experience in the healthcare industry… more