- Humana (Albany, NY)
- …following areas: + Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer internship ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Mount Sinai Health System (New York, NY)
- …of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid, etc.), managed care contracts and coordination of benefits is ... coding guidelines and compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk of compliance violations,… more
- YAI (Brooklyn, NY)
- …New York licensure as an advanced practice nurse + BLS certification + Active Medicare and NYS Medicaid registration + Minimum of 3,600 hours of clinical experience ... above) + 3+ years of experience as a psychiatric nurse practitioner + Active Medicare and NYS Medicaid registration + Familiarity with the NextGen EHR + Experience… more
- Sodus Rehab & Nursing Center (Clinton County, 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
- Sodus Rehab & Nursing Center (Clinton County, 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
- Catholic Health (Buffalo, NY)
- …basis + Request annual COI from clients and upload into CAQH + Complete Medicare and Medicaid re-validations when needed + Track when Medicare and Medicaid ... re-validations are needed + Submit completed payer applications to insurance payers + Follow up with insurance payers to ensure credentialing is moving forward + Create & maintain provider's CAQH + Remind practitioners of expiring DEA/Licensure + Submit… more
- Guthrie (Cortland, NY)
- …illness and disability. + Preferred knowledge of MDS, PRI/Screen instruments, Medicare , and Medicaid. Essential Functions: Coordinates admissions of residents: + ... rehabilitation and long‐term care. + Obtain pre authorizations for managed Medicare residents and assist with on-going authorizations. + Maintain a waiting… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Masters Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification Number (or PTAN). Eligibility ... criteria for NP requires National Certification through AANP or ANCC prior to hire. Current BLS certification through the American Heart Association or the American Red Cross is required. Preferred Qualifications: Experience with Pediatric Psychiatry… more
- New York State Civil Service (Queens Village, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare ... eligibility will result in the termination of employment.OASAS Addiction Treatment Centers (ATCs) are tobacco and vape free facilities.Background Investigation Requirements:Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL)… more
- Rochester Regional Health (Rochester, NY)
- …support, ElderOne caters to every facet of a patient's well-being. Innovative Medicare Model: Operate within a globally capitated system under Medicare /Medicaid, ... allowing you the flexibility to optimize resources for maximized patient function. Benefits We Offer: In addition, the pay range noted below may also include productivity and/or value based clinical incentives, bonus compensation, or other forms of variable… more