- 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 ... Managed Care Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care services. MCP is comprised… more
- Cardinal Health (Albany, NY)
- …processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial ... diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred + Strong people… more
- New York State Civil Service (Schenectady, NY)
- …12304 Duties Description OPWDD is required by law to have an effective Medicaid Compliance Program in place. Proactive efforts and resources are needed to mitigate ... the following: - Assist with establishing procedures for the Medicaid Compliance Unit (MCU) as it relates to ensuring...Central Operations to ensure procedure codes, service rates, and reimbursement rates in the EHR are correct and updated.-… more
- City of New York (New York, NY)
- …HRA; it contributes to creating PEG revenue, generates additional State and Federal Reimbursement . ORMD also contributes to City-tax levy savings for the City. The ... areas to prevent potential errors by reviewing records of Cash Assistance and Medicaid Assistance Program (MAP) cases and analyzing their contents for material that… more
- Heritage Ministries (Gerry, NY)
- …year of personnel management experience. + Strong understanding of healthcare reimbursement methodologies, including Medicare, Medicaid , and commercial payers. ... payment posting, and denial management to ensure accurate and timely reimbursement . Your leadership and strategic approach will contribute to the organization's… more
- Outreach Development Corporation (Brentwood, NY)
- …to the client's/family's financial information, participation and/or qualification for Medicaid benefits and/or other insurance and for ensuring that Outreach ... billing or medical coding a plus. + Must have knowledge of Medicaid , Medicare and commercial insurance. + Knowledge of Netsmart/AVATAR/IMA billing preferred. The… more
- University of Rochester (Rochester, NY)
- …ensuring the visit balances on the accounts receivable are at expected reimbursement based on contractual agreements with payers, and determining and completing the ... resolve billing issues. Must track payer/billing issues that affect reimbursement of claims and advising the management team of...- 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report… more
- WMCHealth (Suffern, NY)
- …in the State of New York as a Registered Nurse. Understanding of Medicare/ Medicaid criteria and insurance regulations and reimbursement . EDUCATION: A Bachelor's ... of Science in Nursing, preferred OTHER: If applicable, the individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal… more
- Teresian House (Albany, NY)
- …billing of all services rendered to residents in compliance with NYS Medicaid , Medicare, Mafae Care Organizations (MCO's) and private insurance. + Preparing and ... and working with families and third-party payers to ensure proper reimbursement . + Verifying resident insurance eligibility and insurance coverage using Availity,… more
- City of New York (New York, NY)
- …- Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy and timeliness, saving the ... program eligibility. Additionally, designing and operating analytics processes to identify Medicaid savings, both within DSS and State Department of Health (SDOH),… more
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