- Cardinal Health (Albany, NY)
- …for patient responsibility + Applying for financial assistance + Applying for Medicaid /Medi-Cal + Coordinate with Early out collections partner for payment plan and ... insurance and assistance options available according to their individual needs and eligibility . + Conduct campaigns for patient education specific to open enrollment… more
- Healthfirst (Queens, NY)
- …using the Uniform Assessment System (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills. As ... case management, and//or medical surgical nursing** **Knowledge of health insurance, Medicaid , Medicare and MLTCP** **Experience working with a frail adult or… more
- Cardinal Health (Albany, NY)
- …and properly resolves by follow-up & disposition. + Verifies patient eligibility with secondary insurance company when necessary. + Bills supplemental insurances ... including all Medicaid states on paper and online. + Mails all paper claims. + Acts as a subject matter expert in claims processing. + Manages billing queue as… more
- Access: Supports For Living (Middletown, NY)
- …management services. + Assist children in applying and receiving "Family of One" Medicaid , which would otherwise be denied due to their parents' income or resources. ... required. + Certification as a Peer Specialist / Peer Advocate (or eligibility /willingness to obtain certification within a required timeframe). + Lived experience… more
- Hillside Family of Agencies (Rochester, NY)
- …in client files to ensure compliance with all Federal, State, Funder, Medicaid Managed Care and Hillside standards. + Obtain and maintain credential/certification ... resources as needed, and an understanding of public assistance access and eligibility . Physical Demands & Work Environment The physical demands described here are… more
- Cognizant (Albany, NY)
- …on the review of clinical documentation in accordance with Medicare, Medicaid , and third-party guidelines. . Effectively document and log claims/appeals information ... offers the following benefits for this position, subject to applicable eligibility requirements: * Medical/Dental/Vision/Life Insurance * Paid holidays plus Paid… more
- Lakeview Health Services (Geneva, NY)
- …planning. + Hold a caseload of up to 20 individuals who meet HH+ eligibility for high need services + Ensure documentation is accurate and completed on time ... other relevant meetings and trainings + Participate in On-call rotation + Adhere to Medicaid , Office of Mental Health and Health Homes billing standards + Secure all… more
- Centene Corporation (New York, NY)
- …years of related experience. Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. ... also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed to diversity,… more
- Elmcrest Children's Center (Syracuse, NY)
- …Child and Family Treatment and Support Services (CFTSS) for families with NYS Medicaid and/or contracts with outside counties for youth in need of specialized sexual ... Therapy or other related mental health field from an accredited institution. Additional Eligibility Qualifications : + Must have active LMSW, LCSW, LMHC, LMFT, LCAT… more
- Loretto Management Corporation (Syracuse, NY)
- …psychosocial evaluation and intervention; assessment for admission and ongoing eligibility , patient rights and advocacy function, daily case management, ... forces as requested. + Educates other team members regarding community resources, Medicaid and other social program and psychosocial issues related to client care;… more