- 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
- 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
- Cardinal Health (Albany, NY)
- …+ Cell/Gene therapy and/or Oncology experience, preferred + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + ... Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of ICD9/ICD10 coding is preferred + Critical and creative thinking, preferred + Important to have a strong attention to detail **TRAINING AND WORK SCHEDULES:**… 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
- 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
- University of Rochester (Rochester, NY)
- …the request of the Crisis Therapist. + Enhances patient efforts in receiving Medicaid and other social services. Provides support and education to families and ... agencies involved with the patient in psychiatric crisis. Promotes and ensures continued staff education around multicultural factors which affect care and treatment of patients. Assists in all planning regarding food, shelter or transportation for patients. +… 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
- City of New York (New York, NY)
- …The Office of Constituent Services /Ombudsman Case Reviewer within the Medicaid Eligibility Information Services (EIS) is responsible for interviewing Medicaid ... applicants and reviewing their documentation to determine eligibility for Medicaid . The Office of Constituent Services /Ombudsman is seeking two (2) Eligibility … more
- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who ... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the Medicaid … more
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Senior Resident Billing Specialist position reports directly to the Director of Revenue Cycle Management and will assist in the resident ... patient health care information, billing, and revenue collections + New York State Medicaid and Medicare rules and regulations + Basic methods and procedures of… more