- Humana (Albany, NY)
- …2+ years of actuarial experience in healthcare + SAS or other coding skills + Medicare experience + Familiarity with CMS Star Ratings Travel: While this is a remote ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Arnot Health (Elmira, NY)
- …and appropriateness of admission and stay in accordance with InterQual. . Prepares Medicare /Non Medicare hospital notices of no coverage (HINN) when patient's ... level of care is no longer covered according to the guidelines. . Identifies the appropriate patients for Case Management services. . Maintains a working knowledge of the requirements of 3rd party payers most frequently involved with their caseload population… more
- University of Rochester (Rochester, NY)
- …**ESSENTIAL FUNCTIONS** + Balances and posts electronic file payments from Medicare , Medicaid, Blue Cross, and MVP. Balances check payments, identifies ... received in error. + Acts as liaison between PAO and Medicare /Medicaid/Blue Cross/MVP agencies concerning duplicate, insufficient, missing or erroneous payments.… more
- The Wesley Community (Saratoga Springs, NY)
- …members to resolve billing-related concerns. + Ensure compliance with Medicare /Medicaid billing requirements, regulatory standards, and facility specific protocols. ... Specialist + 2+ years of billing procedures for all payer types including Medicare , NY Medicaid, HMO and Private insurance + Experience with Private Pay collections… more
- ABBTECH Professional Resources, Inc. (Albany, NY)
- …requests Salesforce Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business Analyst ... SAFe Product Owner or SAFe Agilist. Experience working with the Centers for Medicare and Medicaid Services (CMS) and/or health insurance/heath care experience * *… more
- Humana (Albany, NY)
- …English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ensure ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Walgreens (Valhalla, NY)
- …billing and submission of claims to government-sponsored health care programs, including Medicare , Medicaid, and all other third-party payers, as well as the ... bodies and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare , accreditation bodies, compounding, FDA, etc.). + Complies with all federal… more
- Tarrytown Rehabilitation & Nursing Center (Medina, NY)
- …progress notes and re-certifications per facility policy. + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State ... Participates in internal audits as directed + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the SNF setting… more
- Humana (Albany, NY)
- …+ **Industry Knowledge** : Familiarity with the healthcare sector, specifically Medicare Advantage, and an understanding of regulatory frameworks and market ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Evolent (Albany, NY)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more