- University of Rochester (Rochester, NY)
- …reviews/resolutions and all audits. + Coordinates response and resolution to Medicaid and Medicare credit balances. + Requests insurance adjustments or retractions. ... + Reviews and works all insurance credits in electronic health record. + Enters electronic health record notes, documenting actions taken. + Researches and responds to third party correspondence, receives phone calls, and explains policies and procedures… more
- City of New York (New York, NY)
- …assistance programs such as Eviction Prevention for Vulnerable Adults (EPVA) and Medicaid Re-Design Tean1 (MRT) Programs, the City and State Emergency Housing ... Voucher program. - Consult regularly with the Executive Director and provides input in formulation of new initiatives designed to serve vulnerable families and single adults, developing and implementing policy; manage outreach and collaboration, as well as… more
- Villa of Hope (Rochester, NY)
- …health Assist clients with obtaining PCPs + Assist client with recertification of Medicaid yearly and assist them with any information needed. + In collaboration ... with the NPs Submission of schools notes and paperwork + Manage clinic inventory: medical supplies + Participation in treatment team meetings daily/weekly basis + New staff orientation to the clinic RN role. + Organize yearly in-services for Sublocade and… more
- Lifetime Assistance, Inc. (Rochester, NY)
- …plans, and updating of information. All documentation is required to follow Medicaid , OPWDD, ACCES-VR, and Department of Labor Regulations. + Participate in staff ... meetings, agency trainings, NY CASE trainings and in-service trainings. + Initiate and maintain family contact and advocacy where indicated. Qualifications: Bachelor's degree and one-year experience in employment counseling and interviewing, personnel… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Ellis Medicine (Niskayuna, NY)
- …of Health (NYSDOH), American College of Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), and Joint Commission (TJC) standards + Complete and update ... all employment requirements, including all required continuing education courses, continuing experience requirements, Employee Health, Radiology competencies, and credentials + Performs all functions of the modality within the scope of licensing requirements +… more
- OLV Human Services (Lackawanna, NY)
- …degree in healthcare administration, business, or related field. + Experience with NY Medicaid and managed care dental plans. + Familiarity with NYS Department of ... Health regulations and compliance standards under Article 28. + NextGen EHR experience is preferred, but familiarity with other EHR systems is also acceptable. Work Environment: + Full-time position + On-site presence required during clinic hours +… more
- New York State Civil Service (Albany, NY)
- …management and medical malpractice; health information technology; managed care; Medicare/ Medicaid Conditions of Participation (CoPs) and Conditions for Coverage ... (CfCs) and provider-based rules; pharmacy/controlled substances; research and sponsored research projects (including basic science, government and foundation research, product development, animal and human subjects research, and clinical trials); revenue cycle… more
- WellLife Network (Coram, NY)
- …closures, updating of care plans, and changes in managed care status/plan and Medicaid recertification. Ensure all changes are reported in a timely manner and submit ... updated caseloads to the Division Director weekly + Perform regular data analysis of various documentation reports obtained through the EMR pertaining to performance and submission + Assign all new cases to appropriate Care Coordinators + Conduct regular… more
- New York State Civil Service (Albany, NY)
- …eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.* If you ... are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a… more