- Stony Brook University (East Setauket, NY)
- …Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... Patient Accounting. + Experience in Insurance Verification. + Experience working in Medicare FSS DDE system. **Please Note:** **Verification of degree (eg, diploma… more
- Humana (Albany, NY)
- …and oversee execution of, numerous strategies required to ensure success for our Medicare Stars and Medicaid LOBs. The ideal candidate for this role will thrive ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Northwell Health (Lake Success, NY)
- …online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference ... for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on medical… more
- New York State Civil Service (West Seneca, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- Healthfirst (NY)
- …exclusion, and exemption codes.** + **Searches in Marx (CMS) for Medicare eligibility, enrollments, and special elections.** + **Achieves daily, weekly, and ... Qualifications** + **Work experience within the healthcare industry** + **Experience with Medicare or Medicaid managed care plan products such as, Family Health Plus… more
- New York State Civil Service (Rochester, NY)
- …the statutory job rate ($52,413) and Geographic Pay Differential ($4,000).NOTE:Medicaid and Medicare : In order to be eligible for appointment and to maintain ... individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program).… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B, and the changing ... market landscape + In-depth knowledge of patient access, launch excellence, marketing and business processes + Strong government pricing knowledge and experience + Strong financial acumen, forecasting, and modeling abilities + Proven ability to navigate… more
- Bassett Healthcare (Norwich, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. + Ensures all corrections (demographics, insurance eligibility etc. based ... collection of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. + Obtains prior approval or prior authorization as needed.… more
- New York State Civil Service (Bronx, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare program. Failure to maintain licensure, certification and Medicaid/ Medicare ... eligibility will result in the termination of employment. Additional Comments Salary:$45.51OASAS ATC's are Tobacco-Free facilities.Background Investigation Requirements: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL)… more
- Humana (Albany, NY)
- …+ SAS and/or Databricks experience + Programming experience in SQL and VBA + Medicare Part D knowledge Travel: While this is a remote position, occasional travel to ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more