- Educational Alliance, Inc. (New York, NY)
- …quality admissions assessments in accordance with regulatory bodies (OASAS, CARF, and Medicaid ) + Support the training of new admissions staff + Track enrollments ... + Participate in quality assurance reviews + Submit timely documentation for billing purposes + Coordinate initial referrals and scheduling of medical, mental health… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …in the Billing /Entitlements shared drive. + Complete NYC & NYS Medicaid recertification packets for all service recipients within congregate care level II and ... NY Apply Now (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6455) Job Brief Responsible for preparing Medicaid and Social Security Administration (SSA) recertifications; completing representative… more
- Project Renewal, Inc. (New York, NY)
- …with federal, state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid /Medicare, Part 2). + Ensure the organization's compliance program meets FQHC ... & Monitoring + Conduct reviews and internal audits related to billing , patient privacy, patient data access, clinical documentation, and operational procedures.… more
- Family and Children's Association (Mineola, NY)
- …supervision, and support to staff within the Health Home Care Management, Non- Medicaid Case Management, and Y-Fi programs. This role is responsible for ensuring ... that service delivery, documentation, and billing processes comply with all regulatory requirements while maintaining...Support agency-wide initiatives and goals as assigned. + For Non- Medicaid and Y-Fi programs: maintain and regularly monitor the… more
- Molina Healthcare (Buffalo, NY)
- …accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1 ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (Buffalo, NY)
- …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (Rochester, NY)
- …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... Anesthesia, high-dollar complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Lifespan (Rochester, NY)
- …of clients. The case manager is responsible for processing Social Security, Medicaid and other benefit related applications. The Case Manager is responsible for ... as independent as possible. 6. Maintain and manage all records, case notes, billing , reports and metrics as required ensuring accuracy and compliance with agency… more
- City of New York (New York, NY)
- …System (WMS), Claim Detail Report (CDR) and Division of Accounts Receivable and Billing (DARB) printouts to verify Medicaid claim and any payments already ... is responsible for revenue collection through the assertion of liens for Medicaid and the review of guardianships for incapacitated persons seeking Medicaid… more
- NTT DATA North America (Albany, NY)
- …The Senior Quality Assurance (QA) Analyst will work with the Continuing Medicaid Eligibility Modernization initiative team to establish and execute QA tasks for ... the establishment of QA processes and procedures to support the Continuing Medicaid Eligibility Modernization initiative + Review processes and artifacts to identify… more