- University of Rochester (Rochester, NY)
- …and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer audits. + ... Coordinate responses and resolution to Medicaid and Medicare credit balances- - - Review all accounts on...- - Review all accounts on the Medicaid and Medicare credit balance report + Request insurance adjustments or… more
- SUNY Upstate Medical University (Syracuse, NY)
- …practice. 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. Preferred Qualifications: Diabetes Management. Experience in an Ambulatory setting. Work Days: Monday - Friday, Days Message to Applicants: In return… more
- Molina Healthcare (Buffalo, NY)
- …needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings ... Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate Degree or equivalent combination of… more
- 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). + CPR-BLS Certification required at the time of appointment. + 3+ years of experience as an NP or PA required. + Demonstrated leadership experience. + Excellent communication, organization and computer skills… more
- Mount Sinai Health System (Astoria, NY)
- …preferred. + **Experience:** Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing experience ... Sinai Queens **Responsibilities** + Ensure enrollments for new providers in Medicaid, Medicare , Managed Care plans, Commercial Health plans and Exchange plans. +… more
- SUNY Upstate Medical University (Syracuse, NY)
- …NYS licensed/registered NP specialty area of Psychiatric required. 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. Preferred Qualifications: Prior experience in a psychiatry setting and American Nurses Association certification as a Psychiatric Nurse… more
- 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) + AHA/ARC CPR-BLS Certification required at the time of appointment. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: Prior experience in a Psychiatry setting and… more
- 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: Experience in Cardiology Work Days: Monday-Friday Days… more
- Molina Healthcare (Yonkers, NY)
- …for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and Marketplace lines of business. This includes direct management of ... to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. + Collaborate with legal, claims, provider… more
- Elderwood (Williamsville, NY)
- …+ Supervise all admissions and readmissions for eligibility or denial of Medicare Skilled services regulations. + Notify all providers, in writing, within 24 ... + Ensure that written physician certification for skilled services per Medicare guidelines are obtained. + Coordinate therapeutic services, Physical Therapy,… more