- City of New York (New York, NY)
- …operations of medical support for Specialized Care Unit (SCU) and specialized medical cases. Under direct supervision of Director of MRAM and Executive ... and medical facilities. - Participate in review and collect medical documentation for non- Medicaid reimbursable requests. - Examine various requests,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …mandatory trainings as required. + May be required to attend Fair Hearings with Medical Director relating to specific cases. + Works independently, as well as ... Community Health Assessment (CHA) Tools to determine functional status, medical , behavioral, psychological, and community resource needs for coordinating,… more
- Educational Alliance, Inc. (New York, NY)
- …practical guidance and support to the Intake Team and interns. Assist the Director and Clinical Directors in day-to-day admissions operations. SCOPE OF INFLUENCE + ... Power Point, Outlook, EMRs, HRA STARS) + Knowledge of OASAS and Medicaid regulations + Knowledge of ICD-10/DSM diagnostic criteria, primarily related to substance… more
- Callen-Lorde Community Health Center (New York, NY)
- …health issues. About the Role TheManager of Billingworks directly with the Director of Billing Operations to oversee all billing, reconciliation, and collections for ... accurate, timely third-party revenue collection, including insurance verification and Medicaid authorizations. + Overseeing hiring, training, scheduling, and performance… more
- Northern Rivers Family Services (Albany, NY)
- …As a Credentialing Specialist, you are responsible for credentialing clinical and medical staff according to policy and regulation. You will maintain an accurate, ... posting receipts, journal entries, and reconciliation tasks assigned by CFO, Controller, Director of Revenue Cycle Management or AR Manager based on workload. You… more
- City of New York (New York, NY)
- …HIV/AIDS Services Administration (HASA), Home Care Services Program (HCSP), and the Medical Assistance Program (otherwise known as Medicaid ). Under executive ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE DIRECTOR OF SOCIAL SERVICE CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR… more
- Comunilife (New York, NY)
- …supervises the Assistant Vice Presidents for Programs (AVP) for Transitional Housing, Program Director for Medical Respite, Program Director for Care ... + Directly supervise Assistant Vice President (AVPs), Program Directors for Medical Respite, Care Coordination and SCN Services; ensure effective supervision of… more
- Cardinal Health (Albany, NY)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity ... accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National… more
- Humana (Albany, NY)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of healthcare records +… more