- University of Rochester (Rochester, NY)
- …on assigned tasks, following standard procedures, and as directed by the Manager , Billing or Manager . Independent judgement is necessary in escalating ... of credits - - Review and advise supervisor or manager on trends of incorrectly paid claims from specific...- 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report… more
- Helio Health Inc. (Utica, NY)
- …To support the Mission of Helio Health, Inc., the Health Home Care Manager will provide comprehensive care management and coordination of services to Health Home ... enrollees and eligible Medicaid / Medicaid Managed Care community members. The Health Home Care Manager will work in a Full-Timebasis as part of Helio… more
- New York State Civil Service (Utica, NY)
- …of a multidisciplinary treatment team. The incumbent will function as a case manager and may be responsible for providing supervision to others. Responsibilities may ... eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and … more
- Helio Health Inc. (Rochester, NY)
- …management and coordination of services to Health Home enrollees and eligible Medicaid / Medicaid Managed Care community members. The Health Home Care Coordinator ... Conduct outreach, and assessment for Health Home services for individuals who are Medicaid Eligible and/or have active Medicaid . + Conduct eligibility screenings… more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- …relative to the evaluation, processing, and handling of Presumptive Medicaid (PEP/MAPE), Presumptive Eligibility Family Planning Benefit Program (PEFPBP), and ... health center staff on enrollment processes in collaboration with the Health Center Manager and Revenue Cycle Trainer + Implements new programs or existing programs… more
- City of New York (New York, NY)
- Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the City of New York. Applying ... Under the general direction of the Senior Director of Medicaid Community Offices with wide latitude for the exercise...Assistance Program (MAP), is recruiting for one (1) Administrative Manager NM-II, to function as the OED Director, who… more
- City of New York (New York, NY)
- …housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services ... SSD application and appeal. Under the direction of the Eligibility Support Manager , with considerable latitude for decision making, the Senior Eligibility Supervisor… more
- University of Rochester (Rochester, NY)
- …and adjudication, including refund of credits + Review and advise supervisor or manager on trends of incorrectly paid claims from specific payers + Work with ... supervisor/ manager on communication to payer representatives regarding payment trends...requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer audits. +… more
- Access: Supports For Living (Middletown, NY)
- …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 position in the financial ... payers' portals. + Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid , Medicaid Managed Care and other payers' billing regulations for all programs.… more
- Humana (Albany, NY)
- …other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for services the same day. ... in special projects as assigned by your Supervisor or Manager . **Use your skills to make an impact** **Required...to help people with Medicare, or both Medicare and Medicaid , achieve their best possible health and wellness through… more