- Capital Region BOCES (Albany, NY)
- …services rendered. + Depending on the requirements of the department, may verify Medicaid eligibility of clients requesting services. + Enters statistical data ... on manual or computerized forms. + Sorts and files correspondence, checks, vouchers, index cards or other materials in accordance with office procedures. + Makes simple arithmetic calculations, computes data from requisitions, statistical reports, time reports… more
- CVS Health (Albany, NY)
- …it all with heart, each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network ... responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for working with our strategic provider partners to… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have experience, ... unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The ...health care providers, including school and community-based services Maintain eligibility for public or private health insurance Assist with… more
- City of New York (New York, NY)
- …It is also responsible for evaluating and assessing the resources of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also ... spouse has excess income or resources. Claims and Collections verifies income of Medicaid recipients and collects payments from recipients when Medicaid was… more
- WMCHealth (Valhalla, NY)
- …procedures for Facility Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility , Insurance denial review and overturn ... data on all documents and bills to third party billing companies, Medicare and Medicaid , as well as insurance denial review as appropriate. + Ability to multi-task… more
- Astor Services (Poughkeepsie, NY)
- …and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility , Social Security, SNAP, housing, legal ... Care Manager carries an average caseload of 20-25 children presumed to meet eligibility requirements of New York State's Children's Health Homes program. The Care… more
- Access: Supports For Living (Middletown, NY)
- …on a collaborative team. + Knowledge of Medical Insurance programs such as Medicaid , Medicare and Dual eligibility benefits establishment. + Experience with ... payers' portals. + Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid , Medicaid Managed Care and other payers' billing regulations for all programs.… more
- Molina Healthcare (Rochester, NY)
- …purpose of obtaining and maintaining healthcare coverage, and accurate information for eligibility for Medicaid , CHP and Essential Plan. Provide non-clinical ... * Assists Medicaid Members in contacting their social worker regarding eligibility issues and follow-up with members to ensure follow through, if allowed by… more
- Astor Services (Bronx, NY)
- …and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility , Social Security, SNAP, housing, legal ... provide supportive services to an average caseload of 30 children who meet eligibility of NYS Children's Health Home program. The Care Manager guides program… more
- City of New York (New York, NY)
- …staff responsible for offering clients the opportunity to discuss factors affecting their eligibility for Medicaid , obtain an explanation of the reasons for the ... proposed action, and present facts supporting their case, as mandated by implementation of New York State Department of Social Services regulation 358.8, item (b). - Oversee the activities of staff involved in the preparation and presentation of the Agency's… more