- CenterWell (Albany, NY)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life… more
- Elderwood (Hamburg, NY)
- …assesses information for the health and well-being of residents in Medicare - or Medicaid-certified nursing homes. Following federally-mandated procedures and using ... Most MDS nurses work in nursing homes, but some are employed in other Medicare - or Medicaid-certified facilities. + The MDS Nurse supports the MDS/PPS Coordinator in… more
- GMHC (New York, NY)
- …includes support within a range of health benefit options such as ADAP, Medicaid, Medicare , COBRA, and Marketplace plans, all with a focus on meeting people where ... records across a variety of benefit programs, including NYSOH Marketplace, Medicaid, Medicare , ADAP, and COBRA, ensuring that all contract deliverables are properly… more
- The Institute for Family Health (New Paltz, NY)
- …Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile and maintain records, statistics and reports as necessary. ... executing disciplinary actions + Understanding of medical Commercial, Medicaid, Medicare and Supplemental Payment Programs, Billing and Collections processes… more
- WMCHealth (Valhalla, NY)
- …& Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare /Medicaid billing regulations, and the 340B Drug Pricing Program + Participate in ... & Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare /Medicaid billing regulations, and the 340B Drug Pricing Program + Participate in… more
- WelbeHealth (Albany, NY)
- …+ Assist with month-end close, quarterly financial reporting, financial audit, Medicare /Medicaid audits, and other PACE specific projects + Keep a ... payment model, including ability to track and analyze revenue streams (eg Medicare , Medicaid, Part D) along with PACE rates and regulatory constructs **Job… more
- Adecco US, Inc. (Utica, NY)
- …readiness and adoption. 7. Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights ... authorizations, and/or claim adjudication, physician's office or clinics. * Must have Medicare and commercial insurance coverage experience. * Must be able to… more
- 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
- Bassett Healthcare (Cooperstown, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based ... of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Obtains prior approval or prior authorization as needed. Communicates… more