- St. Catherine's Center for Children (Albany, NY)
- …services under the Children and Family Treatment Support Services (CFTSS) array, a Medicaid State Plan Service for children with, or at risk of, behavioral health ... of all services in the AWARDS EHR, following all Medicaid and Managed Care Organization standards. + Enter progress...Insurance options: Medical, Dental and Vision + $600 Well-being Reimbursement Benefit + Generous Combined Leave Time (CLT) and… more
- The New Jewish Home (Mamaroneck, NY)
- …procedures and good standards of practice. Assists the Director of Clinical Reimbursement with the effective and efficient operation of RAUM Department and covers ... the Director of Clinical Reimbursement in his/her absence. Utilizes critical thinking and collaborates...various payers including Medicare, Managed Care, Commercial Plans and Medicaid . + Ensures that documentation supports Medicare eligibility and… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... MSHS Health System. This individual will ensure the accuracy of contract terms, reimbursement structures, and facilitate the flow of contract data into the revenue… more
- Elderwood (Hamburg, NY)
- …for the health and well-being of residents in Medicare- or Medicaid -certified nursing homes. Following federally-mandated procedures and using the MDS process, ... work in nursing homes, but some are employed in other Medicare- or Medicaid -certified facilities. + The MDS Nurse supports the MDS/PPS Coordinator in completion of… more
- Molina Healthcare (Yonkers, NY)
- …expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical ... and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications**… more
- Living Resources (Albany, NY)
- …each program and necessary admission/discharge requirements + Knowledge of Medicaid , Medicare, SNAP and Social Security benefits and applications/certifications for ... issues impacting billing and cash flow + Ensuring all Medicaid and waiver documentation is in place prior to...costs for Health Insurance), Dental & Vision Insurance, Health Reimbursement Accounts, Payment in Lieu of Health Insurance, Tuition… more
- WMCHealth (Valhalla, NY)
- …& Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare/ Medicaid billing regulations, and the 340B Drug Pricing Program + Participate in ... & Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare/ Medicaid billing regulations, and the 340B Drug Pricing Program + Participate in… more
- Catholic Health Services (Elmont, NY)
- …be what you are seeking. We offer career advancement, a rich tuition reimbursement program, medical benefits, a generous pension plan, 403B for retirement and PTO ... or events and outcomes in factual terms in progress notes, communication books and Medicaid billing log. Progress notes are to be completed bi-weekly and a monthly… more
- Outreach Development Corporation (Brentwood, NY)
- …due diligence in the delivery of quality care in line with agency Medicaid Compliance Plan and systems of accountability. + Insure communication through the ... and/or the supervisory structure of any violation of non-compliance with the agency's Medicaid compliance plan and personnel policy and procedure. + Serve as a… more
- Rochester Regional Health (Rochester, NY)
- …FCM - Senior will assist residents in applying for and recertifying in Medicaid coverage. This entails interviewing and screening resident and family for financial ... that will result in positive patient relations and prompt reimbursement for services rendered. The FCM may also help...service is required. + Three or more years of Medicaid enrollment experience required PREFERRED QUALIFICATIONS: + Base knowledge… more
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