- BrightSpring Health Services (New Hyde Park, NY)
- …college preferred + Experience working with all payer types, including Medicare , Medicaid and commercial insurance companies + Knowledge of insurance verification ... and pre-certification procedures + Understands the scope of services that Amerita can provide + Strong verbal and written communication skills **To perform this role will require constantly sitting, standing and typing on a keyboard with fingers, and… more
- Trinity Health (Schenectady, NY)
- …of trends in healthcare, combining an insurance role (we are the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare provider role ... (primary care, home health, adult daycare, transportation, all coordinated by an interdisciplinary team). The primary purpose of this job position is to provide skilled nursing care and prescribed treatments to participants according to professional nursing… more
- New York State Civil Service (New York, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility.* If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments… more
- New York State Civil Service (Oxford, NY)
- …and all audits. Coordinate response and resolution to Medicaid and Medicare credit balances. Request insurance adjustments or retractions. Review and works ... all insurance credits in the electronic health record. Enter electronic health record notes, documenting actions taken. -Researches and responds to third-party correspondence, receives phone calls, and explains policies and procedures involving routine and… more
- New York State Civil Service (Wassaic, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. ... * If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made… more
- ConvaTec (Massapequa, NY)
- …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid, commercial and private insurance payers. Verifies accuracy and ... completeness of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims. + Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in… more
- Molina Healthcare (Syracuse, NY)
- …years supervisory/management experience in a managed healthcare environment. + Medicaid/ Medicare Population experience with increasing responsibility. + 3+ years of ... clinical nursing experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or… more
- Elderwood (Waverly, NY)
- …of one year previous Accounts Receivable experience required. + Working knowledge of Medicare A and B, Medicaid and third party insurance required. + High school ... diploma with business training, including typing and book keeping. Proficient in Excel is a plus. + Experience in a Long Term Care setting highly preferred. + This position requires regular interaction with residents, coworkers, visitors, and/or supervisors.… more
- New York State Civil Service (Schenectady, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility.* If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments… more
- CVS Health (New York, NY)
- …Uncover friction points, drop-off stages, and high-value engagement opportunities across Medicare products. + Develop and deploy machine learning and statistical ... models (deep learning, causal inference, regression) that optimize next best actions at each stage of the customer journey, tailored to individual behaviors and signals. + Build scalable systems and frameworks utilizing Cloud platforms to continuously monitor,… more