- Comunilife (New York, NY)
- …managed in compliance with contract and policy requirements of NYS-OMH, NYC-DOHMH, Medicaid /Medicare, HRA/HASA, OTDA, DHS, HUD, HPD, SAMSHA, MRT, ESSHI and HIV/AIDS ... Service Programs, NYS DOH, and any other government entities, or individuals that provide funding and/or have regulatory authority over Comunilife + Works collaboratively with the Vice Presidents for Human Resources, Strategic Planning, Development, and Real… more
- Buffalo Hearing & Speech Center (Williamsville, NY)
- …+ Protecting patient privacy and ensuring compliance with regulations for HIPAA, DOH, Medicaid , and Medicare + Being aware of emergency procedures and assisting with ... patient care during emergencies + Continuous learning and process improvement + May be trained to specialize in certain clinic functions such as handling patient calls for scheduling speech-language evaluations and therapy or other specialized areas. Skills: +… more
- City of New York (New York, NY)
- …facilities. - Participate in review and collect medical documentation for non- Medicaid reimbursable requests. - Examine various requests, forms, and other ... documentation submitted to the unit to ensure that ACS guidelines are followed. - Oversee and monitor medical records reviews from ACS's contracted agencies for children with special medical needs. - Collaborate on internal projects within OCFH unit. -… more
- Resource Center for Independent Living (Utica, NY)
- …legislative and administrative developments related to disability rights, Medicaid , housing, employment, transportation, education, and community-based supports. + ... Coordinate joint responses to key policy issues in collaboration with advocacy organizations, Independent Living Centers, and disability-led groups. + Establish no fewer than five (5) local partnerships or coalitions per contract year with organizations whose… more
- Catholic Health Services (Smithtown, NY)
- …level is highly desirable. Skills, Knowledge or Abilities: Knowledge of Medicare, Medicaid and insurance required. Must have troubleshooting skills and the ability ... to work independently. Experience: Computer experience required. Three to five years' experience required. DUTIES/RESPONSIBILITIES: Performs monthly review of designated payer accounts Processing of mail/EOB's for the facility Verified residents insurance… more
- General Dynamics Information Technology (Menands, NY)
- …is the target platform for the NYSOH Application. + Healthcare, Medicaid or Health Exchange experience **Familiarity with the following technical environment:** ... **Languages** : Java, BASH Shell, SQL and PL/SQL **Web Technologies:** Drools 8, JDBC, WSDL, HTML, JSP, XML, JSON, WSDL, WADL, DOM, JAX RPC, CSS, Dozer 5.5.1, Java Script, Angular JS, Type Script, jQuery, Ajax, Java Script, Log4J **Frameworks** : J2EE, Spring,… more
- Stony Brook University (East Setauket, NY)
- …payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert knowledge of third party ... reimbursement methodology and associated healthcare claim drivers. + Expert knowledge of inpatient and outpatient billing requirements (UB-04, 837i). + Experience working with CPT, HCPCs and ICD-10 codes. + Experience working with Cerner Invision Patient… more
- GMHC (New York, NY)
- …government benefit systems and entitlement programs, including: + . Social Security, Medicaid , SNAP, and Housing Assistance Programs. + . Ability to navigate online ... portals and submit required client documentation. Strong documentation and compliance skills, ensuring: + Accurate case notes and service plans in adherence to regulatory requirements. + Confidentiality and compliance with HIPAA and other legal protections.… more
- Fedcap (New York, NY)
- …through the Marketplace (if offered) and/or into Insurance Affordability Programs ( Medicaid , Child Health Plus, the Essential Plan, and financial assistance for ... QHPs). + Completing new and renewal health insurance applications through the Marketplace website. + Assisting potential enrollees with grievances, complaints or questions regarding their health coverage or a determination related to their coverage. +… more
- Stony Brook University (East Setauket, NY)
- …billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of third-party payer reimbursement and ... managed care contracts. + Experience in utilizing insurance websites to check for eligibility and claim status. + Experience investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital claims. + Knowledge of CPT, HCPCs and… more