• Patient Registration - Gouverneur Hospital (Per…

    Rochester Regional Health (Rochester, NY)
    …for insurance eligibility via insurance websites, where appropriate * Completes Medicare Secondary Payer Questionnaire for all Medicare -eligible patients * ... Completes all admission forms required by Medicare * Verifies third party payer benefits and Worker's Compensation according to departmental policy and procedure *… more
    Rochester Regional Health (08/21/25)
    - Related Jobs
  • Senior Coding Data Quality Auditor, Regulatory…

    CVS Health (Albany, NY)
    …applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... International Classification of Disease (ICD) codes required. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical… more
    CVS Health (08/21/25)
    - Related Jobs
  • Lead Analyst, Payment Integrity

    Molina Healthcare (Yonkers, NY)
    …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience + Proven… more
    Molina Healthcare (08/20/25)
    - Related Jobs
  • Medical Director

    Molina Healthcare (Syracuse, NY)
    …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** + Master's in Business Administration, Public Health, Healthcare… more
    Molina Healthcare (08/20/25)
    - Related Jobs
  • Physician Assistant

    SUNY Upstate Medical University (Syracuse, NY)
    …Minimum Qualifications: NYS licensed/registered PA required. Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be ... eligible for Medicare Enrollment within 6 months of hire (eligibility criteria for PA requires graduation from an accredited PA program and National Certification… more
    SUNY Upstate Medical University (08/20/25)
    - Related Jobs
  • Nurse Practitioner

    SUNY Upstate Medical University (Syracuse, NY)
    …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree) (eligibility… more
    SUNY Upstate Medical University (08/20/25)
    - Related Jobs
  • Neuroscience Advanced Practice Provider

    SUNY Upstate Medical University (Syracuse, NY)
    …+ NYS licensed/registered NP or PA required. Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. + CPR-BLS Certification required at the time of appointment. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: Two years of Neurology and Ambulatory APP experience… more
    SUNY Upstate Medical University (08/19/25)
    - Related Jobs
  • Cancer Center-Ambulatory Palliative Care Advanced…

    SUNY Upstate Medical University (Syracuse, NY)
    …+ NYS licensed/registered NP or PA required. Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. + CPR-BLS Certification required at the time of appointment. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: Prior experience in specialty area, Oncology… more
    SUNY Upstate Medical University (08/19/25)
    - Related Jobs
  • Neuroscience Movement Disorder Advanced Practice…

    SUNY Upstate Medical University (Syracuse, NY)
    …Certification consistent to the clinical practice. + Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: Neurology and Ambulatory APP experience preferred. Work Days: Monday - Friday, Days Message to Applicants: In… more
    SUNY Upstate Medical University (08/18/25)
    - Related Jobs
  • Inclusive Health Services Advance Practice…

    SUNY Upstate Medical University (Syracuse, NY)
    …Certification consistent to the clinical practice. + Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: Two years or greater in primary care. Work Days: Monday - Friday, Days with occasional evening rotation. Message to… more
    SUNY Upstate Medical University (08/18/25)
    - Related Jobs