- Molina Healthcare (Rochester, NY)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid /Medicare/Marketplace health coverage audit policies and be able to apply them in ... abuse, and over utilization by providers and recipients. The position will review claims data , medical records, and billing data from all types of healthcare… more
- Arc Allegany-Steuben (Bath, NY)
- …Strong proficiency with EVero software, including service authorizations, claim submissions, and reporting . + Knowledge of Medicaid billing regulations and OPWDD ... Compliance + Ensure all billing practices adhere to OPWDD regulations, Medicaid guidelines, and internal Corporate Compliance standards. + Verify that services… more
- GMHC (New York, NY)
- …deliverables reports, DDAS, and time and effort forms by deadlines. Ensure accurate data entry into reporting systems such as eCOMPAS, TREAT, and AWARDS. ... managing relationships to resolve conflicts and foster a cooperative environment. Professional Development: + Leads the onboarding process for new hires, ensuring… more
- GMHC (New York, NY)
- …such as: + eCOMPAS, AWARDS, or similar platforms for documentation and compliance reporting . + Data entry and management to ensure contract deliverables are ... proactive engagement with clients experiencing crises. Compliance Documentation & Reporting : + Ensure timely and accurate documentation compliance. + Maintain… more
- New York State Civil Service (Brooklyn, NY)
- …Health Care, Human/Social Services Salary Grade 22 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $82326 to $104230 Annually ... reports and ensuring they meet all OMH established standards.* Reporting to the site of a serious incident and...and facilitating the completion of all unit investigations.* Completing data entry and retrieval in the NIMRS and Justice… more
- City of New York (New York, NY)
- …Support (OCS), Investigation, Revenue and Enforcement Administration (IREA), Office of Data Security Management (ODSM) and the Vendor Monitoring Office (VMO). The ... audit responses. - Oversee the County Demonstration Unit (CDU), which conducts Medicaid provider audits to assess compliance with Medicaid program rules,… more
- City of New York (New York, NY)
- … and SNAP compliance projects - Aggregate and analyze data from HRA's Enterprise Data Warehouse, Medicaid Data Warehouse, Passport and other data ... The Director of Revenue Enhancement and Analysis will be reporting to the Assistant Deputy Commissioner for the Bureau...closely related field, and two years of satisfactory full-time professional experience in one or a combination of the… more
- Access: Supports For Living (Middletown, NY)
- …NY Pay Rate: $26.44 per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key ... Billing Specialist will assist Finance in maintaining the financial data required for revenue management report generation, and assist...+ Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid , Medicaid Managed Care and other payers'… more
- GMHC (New York, NY)
- …such as: + eCOMPAS, AWARDS, or similar platforms for documentation and compliance reporting . + Data entry and management to ensure contract deliverables are ... This is an opportunity for a compassionate and motivated professional to make a meaningful impact on individuals facing...engagement. + Completion of monthly home visit documentation. + Data entry of contract deliverables into eCOMPAS, AWARDS, and… more
- WellLife Network (Manorville, NY)
- …ensure accuracy and compliance.8. Manages program budgets, expenditures, and fiscal reporting in coordination with the Division Director and fiscal department.9. ... participates in SPOA Out-of-Home meetings; provides biweekly status updates and reporting .24. Reviews all referrals and determines eligibility for admission in… more