- Dartmouth Health (Hoosick Falls, NY)
- …leading professional organizations, including The Joint Commission, the Centers for Medicare and Medicaid Services, and the American Nurses Credentialing Center. ... Picture yourself living in Vermont Southwestern Vermont Medical Center is located in Bennington, Vermont and offers the quintessential New England experience. This beautiful area combines history, industry and business and has been named among the most vibrant… more
- Fresenius Medical Center (Hempstead, NY)
- …certification as defined by Center for Medicaid/ Medicare Services (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment ... to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + At least two years previous patient care experience in a hospital setting or a related facility preferred. + Continued employment is dependent on… more
- Molina Healthcare (NY)
- …RN license in the state of MI. This position will support our MMP (Medicaid Medicare Population) will be supporting DSNP. This position will have a case load and ... manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to multitask between systems,… more
- Northwell Health (Valley Stream, NY)
- …to maintain accurate charts during patient stays. + Files appropriate paperwork such as Medicare forms including the IMN form, and all other forms into chart. + ... Assists patients sign-up for the 'Patient Portal' (if they do not already have an account.) + * Performs a variety of clerical duties essential to operation of patient care unit, as directed. + Contacts Transport team to send patients for special tests,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …managed care benefit plans and strong knowledge of government program contracts ( Medicare and Medicaid) and benefits, preferred. + Strong written and verbal ... communication skills + Ability to multitask and balance priorities. + Must demonstrate ability to work independently on a daily basis. + Deliver efficient, effective, and seamless care to members. Level II (in addition to Level I Qualifications) + Minimum of 2… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Tarrytown Rehabilitation & Nursing Center (Houghton, NY)
- …position in healthcare environment + Long-term care experience required + Knowledge of Medicare and 3rd party billing + Knowledge of medical terminology + Ability to ... discuss clinical evaluations with physicians and other care givers within facility ACKNOWLEDGEMENT Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the… more
- Garnet Health (Middletown, NY)
- …processes preferred. In-depth knowledge of third-party Billing and Authorizations ( Medicare , Medicaid and Commercial Insurance) requirements in a Medical Group/ ... Hospital setting, experienced in Windows Software, EPIC Cadence highly desirable. Ability to lead, motivate, develop and train others. Required Certification/Registration: N/A Physical Requirements: Travel to multiple facilities is required. Working… more
- Sedgwick (Albany, NY)
- …and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, SIR's, ... carrier and large deductible programs. + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong organizational skills + Strong interpersonal skills + Good negotiation skills + Ability to… more
- Ellis Medicine (Niskayuna, NY)
- …Department of Health (NYSDOH), American College of Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), and Joint Commission (TJC) standards + Complete ... and update all employment requirements, including all required continuing education courses, continuing experience requirements, Employee Health, Radiology competencies, and credentials + Performs all functions of the modality within the scope of licensing… more