- City of New York (New York, NY)
- …of Project Services is recruiting for one (1) Administrative Job Opportunity Specialist , M5, to function as Deputy Commissioner, Division of Job Support Service, ... temporary cash assistance, Supplemental Nutrition Assistance Program (SNAP) benefits, Medicaid , and employment services to eligible individuals and families in… more
- Molina Healthcare (Rochester, NY)
- …with advanced written and verbal communication. + Required knowledge of Medicaid , CMS, NCQA and other credentialing regulations. Required License, Certification, ... Association: Preferred Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression program. Preferred Education: Associate or… more
- Molina Healthcare (Albany, NY)
- …(LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical ... or other health care or management certification. * Leadership experience. * Medicaid /Medicare population experience. To all current Molina employees: If you are… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) *Understanding of Hospital formulary with guidance of RSD and NAM/NAD ... needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist ) *Gather and provide customer insights to Marketing teams for development… more
- City of New York (New York, NY)
- …conducting City, State and Federal clearances on all new hires, conducting Medicaid billing clearance, tracking and investigating nepotism, liaising with DCAS to ... Summary: The Staff Analyst Trainee will serve as the Agency's Compliance Specialist . Job Duties and Responsibilities: - Reviewing all resignation and retirement… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …compliance with The Joint Commission requirements, Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines. *Analyzes and ... above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be… more
- Mount Sinai Health System (New York, NY)
- …internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate patients and form a care plan with specific health ... psychiatric providers + Obtains medical records from primary care and other specialist providers if appropriate + Completes all prior authorizations for insurance +… more
- Catholic Health Services (Melville, NY)
- …other patient access operational activities for the Catholic Health. The Authorization Specialist role is responsible to submit prior authorizations timely, and that ... National and Local Coverage Decisions. + Maintain knowledge of Medicare, Medicaid and third-party payer regulations and hospital charging and collection policies.… more
- Molina Healthcare (NY)
- …legal processes (Commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid , Tricare, Pharmacy, etc.) + Experience with UNET, Comet, Macess/CSP, ... Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred… more
- Cardinal Health (Albany, NY)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... with secondary insurance company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Mails all paper claims. + Acts… more