- Stony Brook University (Stony Brook, NY)
- …portal, phone, or fax to initiate authorization, obtain insurance benefits, eligibility , medical necessity, and/or authorization information. + Maintains a close ... insurance industry experience. Experience with Medicare, Social Security and/or Medicaid systems. Bilingual. **Special Notes** **:** **Resume/CV should be included… more
- WMCHealth (Warwick, NY)
- …need and appropriateness of placement + Assesses resident's potential eligibility for Medicare coverage. Initiates Medicare Certification and recertification for ... (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement + Works closely with the interdisciplinary team. + Utilizing the… more
- City of New York (New York, NY)
- …exercise of independent judgement, initiative, and decision-making, serve as the Medicaid Assistance Program (MAP) and HomeCare Services Program (HCSP) Director, ... and regulations to write and develop operational instructions for the MAP/HCSP eligibility divisions. These operational instructions can be in the form of procedural… more
- Mount Sinai Health System (Queens, NY)
- …Jersey and Long Island. **Qualifications** + Valid New York State license, DEA and Medicaid number + MD or DO, with board certification in cardiovascular disease + ... Eligibility for New York State medical licensure + Minimum of 8 years of clinical experience in cardiology with leadership or management experience + Demonstrated… more
- Family and Children's Association (Mineola, NY)
- …resources to support social, recreational, and cultural activities. + Implement Medicaid billable services for residents. + Provide individualized skill assessment, ... required. (Therapeutic Recreation and National Council Therapeutic Recreation Certification eligibility is preferred) + Must have experience working with children… more
- Caz Recovery (Buffalo, NY)
- …calls with potential program participants, completes documentation and insurance/ eligibility verifications + Receives, prioritizes, monitors, and triages screenings ... all required rules and regulations including Federal Confidentiality (42 CFR, Part 2), HIPAA, Medicaid and/or HUD, and any others. + Other duties may be assigned +… more
- Healthfirst (NY)
- …on memberships, data integrity and address discrepancies related to member eligibility and enrollment. + Manage premium billing cycles, invoice generation, and ... like Tableau and Knowledge of NY lines of business such as Medicare NY, Medicaid , Child Health Plus, QHP, EP, HARP + Bachelor's degree in Accounting, Finance, or… more
- The Salvation Army (Syracuse, NY)
- …The Salvation Army qualifies employees for this program. Servicer determines overall eligibility >In need of affordable Health Insurance? We are an official NYS ... Responsible for the delivery & proper documenting of services in accordance with Medicaid billing and our agency standards. + Collaborate with service providers that… more
- Centene Corporation (New York, NY)
- …government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and ... 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
- City of New York (New York, NY)
- …and DHS and develops applications, including a variety of client eligibility and recertification systems, case management systems, housing systems, employment/work ... Assistance (PA) consisting of 600 jobs, Food Stamps (FS) consisting of 200 jobs, Medicaid (MA) consisting of 150 jobs, Foster Home Care for the Administration for… more