- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 FA/Trainee 1 FA/Trainee 2 FA (NY HELPS) Occupational ... Description Duties Include:Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) prepares and analyzes background… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 (NY HELPS) Occupational Category No ... eMedNY and FACTS is preferred. A willingness to learn.The Medicaid Integrity Specialist 1 position will support the Division...a reasonable accommodation if necessary). * Have a current Eligibility Letter from the NYS Department of Civil Service,… 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
- Molina Healthcare (Brooklyn, NY)
- …sales and marketing of Molina Medicare products to dual eligible, Medicare- Medicaid recipients within approved market areas to achieve stated revenue, profitability, ... the product choices available to them, the enrollment process ( eligibility requirements, Medicare review/approval of their enrollment application, timing of… more
- CVS Health (NY)
- …And we do it all with heart, each and every day. **The Medicaid Senior Manager, Network Management:** + Negotiates, executes, conducts high level review and ... Office suite applications (eg, Outlook, Word, Excel, etc.). + Knowledge of Medicaid programs. + Solid decision-making skills while executing national, regional, and… 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
- New York State Civil Service (Albany, NY)
- …tools is preferred.. Familiarity with Home and Community-Based Services (HCBS) Medicaid Waiver services, including eligibility , person-centered service planning, ... in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility . * If you are employed by state government you may be able to… 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
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