- New York State Civil Service (Binghamton, NY)
- …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
- 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
- Tarrytown Rehabilitation & Nursing Center (Cortlandt, NY)
- …resident, staff and family education and in-servicing + 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
- Sodus Rehab & Nursing Center (Delhi, NY)
- …resident, staff and family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State ... accordance with established acceptable time frames + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the SNF… more
- SUNY Upstate Medical University (Syracuse, NY)
- …to clinical practice is also required. + Have an NPI number and be 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: + 1-2 years Inpatient experience + Palliative Care experience Work Days: + Monday -… more
- Rochester Regional Health (Rochester, NY)
- …+ Check insurance eligibility via appropriate websites. + Complete the Medicare Secondary Payer Questionnaire for eligible patients. + Complete all required ... Medicare admission forms. + Verify third-party and Worker's Compensation benefits as per policy. + Collect copays, co-insurance, and deductibles at registration. +… more
- Stony Brook University (Stony Brook, NY)
- …within thirty days. Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on admission. Reviews with the ... does not meet in-patient criteria for admission. Follows the process for Code 44 on Medicare patients. Follow the process for Code 44 on all other payers. + Active… more
- Mount Sinai Health System (New York, NY)
- …physician service charges to ensure they align with payer regulations, Medicare /Medicaid reimbursement methodologies, and managed care contracts. + Provides routine, ... coding guidelines and compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk of compliance violations,… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... to analyze and report the financial performance for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that… more
- Humana (Albany, NY)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more