- Community Missions of the Niagara Frontier (Niagara Falls, NY)
- …and submit Resident fees for service. Maintain and submit documentation for Medicaid billing for service. Direct supervision of the Daily Living Skills Specialist. ... Qualifications: Bachelors Degree in Social Work, Human Services, Community Mental Health or related field preferred. One (1) year experience in Human Service or related field preferred. Must have valid NYS Drivers License. Hours: Full-Time Salary Range:… more
- Heath System Services (Niagara Falls, NY)
- …medical necessity qualification, and prior authorization. + Maintain adherence to Medicare, Medicaid , and commercial payer standards. + Act as a resource for billing ... and coverage policy questions from team members. Technical Proficiency: + Utilize and oversee multiple ordering platforms and ERP systems. + Train team members on system use and ensure accurate data entry. + Collaborate with IT or system support teams to… more
- Saratoga Hospital (Saratoga Springs, NY)
- …2004 + 4-Star Quality Rating under the US Centers for Medicare & Medicaid Services Hospital Compare Initiative + Commission on Cancer Accreditation + Breast Imaging ... Center of Excellence + CAP Accreditation + Age-Friendly Health System + Mission: Lifeline(R) - STEMI Receiving Center - Gold Plus + Get with the Guidelines(R) - Stroke Gold Plus Target: Stroke Honor Roll + Diagnostic Imaging Center of Excellence recognition… more
- Cognizant (Albany, NY)
- …UB/institutional (CMS-1450) and/or professional (CMS 1500) claims + Knowledge of Medicare/ Medicaid payment and coverage guidelines and regulations. + 1 year of ... Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Must be able to work with minimal supervision. + Good skills at problem resolution specifically related to healthcare… more
- Rochester Regional Health (Rochester, NY)
- …Provides employment and benefit counseling (eg, Social Services, Social Security, Medicaid ), advocates for participants, and performs individualized job and career ... development activities. + Facilitates assessments and individual recovery plan (IRP) development, delivers services such as CRS, IR, Clinical Symptom Monitoring, and ORS interventions-individually or in groups-as outlined in the IRP. + Designs and facilitates… more
- BrightSpring Health Services (New Hyde Park, NY)
- …preferred + Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies + Knowledge of insurance verification and ... pre-certification procedures + Understands the scope of services that Amerita can provide + Strong verbal and written communication skills **To perform this role will require constantly sitting, standing and typing on a keyboard with fingers, and occasionally… more
- Trinity Health (Schenectady, NY)
- …of trends in healthcare, combining an insurance role (we are the Medicare/ Medicaid insurer for our participants) with a comprehensive healthcare provider role ... (primary care, home health, adult daycare, transportation, all coordinated by an interdisciplinary team). The primary purpose of this job position is to provide skilled nursing care and prescribed treatments to participants according to professional nursing… more
- New York State Civil Service (Oxford, NY)
- …reviews/resolutions, and all audits. Coordinate response and resolution to Medicaid and Medicare credit balances. Request insurance adjustments or retractions. ... Review and works all insurance credits in the electronic health record. Enter electronic health record notes, documenting actions taken. -Researches and responds to third-party correspondence, receives phone calls, and explains policies and procedures… more
- Saratoga Hospital (Saratoga Springs, NY)
- …specimen collection. Community Health Center: Conducts PAM assessments for all Medicaid patients and enters assessments into data system. Minimum Qualifications: ... High school diploma or equivalent. Prior medical office experience preferred. Community Health Center: One year previous emergency department, nursing school student, CNA preferred and/or equivalent required. Computer skills and working knowledge of programs… more
- Webster Central School District (Webster, NY)
- …provision of speech/language services. + Maintains thorough records including daily Medicaid notes for each student receiving speech/language services at the ... assigned school(s) and provides related reports. + Models culturally competent practices in all activities. + Maintains professional competence by attending staff development programs, curriculum development meetings and other professional activities… more