- Molina Healthcare (Syracuse, NY)
- …and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution ... coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Northwell Health (Valley Stream, NY)
- …assessment of patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health requirements, assessing residents for ... Medicare and managed care benefits. Ensures continuous maintenance of Minimum Data Set (MDS) computer-records. Ensures the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Job… more
- YAI (Manhattan, NY)
- …with benefits and entitlements in the healthcare and/or I/DD field including Medicaid , Medicare and applicable regulatory agencies. + Strong written and oral ... communication skills, including the ability to effectively obtain and communicate information with staff at varying levels. + Detail oriented and highly organized with good time management and follow-up skills, including the ability to effectively track and… more
- Northwell Health (Lake Success, NY)
- …care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up ... discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical… more
- SUNY Upstate Medical University (Syracuse, NY)
- …+ Schedules outside services as requested by the physician for the patient ( Medicaid cab, interpreter services, etc.). + Responsible for review of the procedural ... schedule to make sure that the schedule is appropriate regarding the time allotted foreach procedure to decrease patient "wait time" and utilize the physician's time efficiently. + Responsible for assisting with processing all procedural schedule changes and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …+ Schedules outside services as requested by the physician for the patient ( Medicaid cab, interpreter services, etc.). + Responsible for review of the procedural ... schedule to make sure that the schedule is appropriate regarding the time allotted for each procedure to decrease patient "wait time" and utilize the physician's time efficiently. + Responsible for assisting with processing all procedural schedule changes and… more
- City of New York (New York, NY)
- …to, Assertive Community Treatment (ACT), Intensive Mobile Treatment (IMT), Non- Medicaid Care Coordination, Clubhouses, Assisted Competitive Employment programs for ... adults with Serious Mental Illness. Program performance is monitored through data collection and analysis, ongoing site visits and program provider meetings. The Office also provides technical assistance to support the programs delivery of quality services to… more
- ConvaTec (Massapequa, NY)
- …Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid , commercial and private insurance payers. Verifies accuracy and completeness ... of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims. + Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance… more
- Bowery Residents Committee (Manhattan, NY)
- …School diploma required, BA preferred. Entitlement experience required (Welfare, Medicaid , Veterans, etc.). Driver's license preferred. * Vaccination preferred but ... not required. MAKE AN IMPACTAre you looking to make a positive impact on the lives of those in your community? At BRC, our staff help New Yorkers experiencing homelessness reclaim their lives by providing a hand up, offering opportunities for health and… more
- The Salvation Army (Syracuse, NY)
- …+ Ensure accurate and timely documentation of services in compliance with Medicaid billing requirements and agency policies. + Coordinate with other service ... providers involved in the child/youth's treatment plan to support ongoing care and planning. + Apply culturally competent and trauma-informed practices in all aspects of service delivery. + Participate in weekly supervision meetings with the assigned… more