• Supervisor Veterans Home Fiscal Administration…

    New York State Civil Service (Batavia, NY)
    …cash flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews, ... This challenging opportunity requires competence in: I) preparing Medicare and Medicaid cost reports for healthcare facilities; II) utilizing the Statewide Financial… more
    New York State Civil Service (08/08/25)
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  • Compliance Auditor

    YAI (Manhattan, NY)
    …up to date knowledge of laws and regulations governing the documentation and billing of YAI services including, but not limited to State regulatory agencies (Office ... for People with Developmental Disabilities (OPWDD), Centers for Medicare and Medicaid Services (CMS), Office of Medicaid Inspector General (OMIG), Department of… more
    YAI (08/08/25)
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  • Medicare Product Development Manager, Vendor…

    Molina Healthcare (Yonkers, NY)
    …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
    Molina Healthcare (07/25/25)
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  • Qidp

    AHRC Suffolk (Bohemia, NY)
    …about any emergencies or sensitive situations. Completes and submits annual Medicaid Recertification and resolves issues affecting an individual's Medicaid ... Handles all daily and monthly paperwork for the house, including medical and billing , within the required deadlines in adherence to related regulations or agency… more
    AHRC Suffolk (07/23/25)
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  • Senior Analyst, Medical Economics - REMOTE

    Molina Healthcare (Yonkers, NY)
    …and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** ... + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work experience… more
    Molina Healthcare (07/10/25)
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  • Clinical Coordinator

    WMCHealth (Warwick, NY)
    …Oversees the release of Medical Records to other providers, regulatory agencies, billing agencies, and auditing agencies including Medicare, Medicaid , and ... Authorizations and continued stay authorizations with Medicare, Medicare Advantage, Medicaid , and Insurance Programs. + Maintain access to Medicare common… more
    WMCHealth (06/30/25)
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  • Credentialing Specialist-ONSITE

    WMCHealth (Hawthorne, NY)
    …detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA) in collaboration with ... enrollment databases/rosters, ensuring all information is current and accurate for billing and credentialing purposes. + Requests documentation follows up on receipt… more
    WMCHealth (06/18/25)
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  • Compliance and Quality Improvement Manager (CQIM)…

    YAI (Manhattan, NY)
    …date knowledge of all applicable laws and regulations governing the documentation and billing of YAI services including, but not limited to State regulatory agencies ... (OPWDD, Centers for Medicare and Medicaid Services (CMS), Office of Medicaid Inspector General (OMIG), Department of Health (DOH)), etc. and provides training as… more
    YAI (05/31/25)
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  • Admissions Coordinator

    Tarrytown Rehabilitation & Nursing Center (Houghton, NY)
    …to present to internals teams for approval + Complete the required admissions and billing tasks for each patient admission + E nsure that patients and family are ... collect and review all necessary documentation for admissions and Medicaid applications. + Implement a system to follow up...experience required + Knowledge of Medicare and 3rd party billing + Knowledge of medical terminology + Ability to… more
    Tarrytown Rehabilitation & Nursing Center (08/22/25)
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  • Senior Patient Access Services Representative

    Northwell Health (Lake Success, NY)
    …Job Description Performs a variety of registration, insurance verification, scheduling and billing duties in support of inpatient and outpatient access to medical ... data into computer system, which may include patients on Medicare/ Medicaid ; + Verifies patient insurance coverage and other related...due from patient at time of service; May preform billing , receivable and related functions. + May follow through… more
    Northwell Health (08/22/25)
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