- Northwell Health (New Hyde Park, NY)
- …relevant experience, required. Preferred Experience + In-depth knowledge of Medicare and Medicaid billing regulations, guidelines, and compliance requirements (eg, ... medical necessity, Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs) + Familiarity with common commercial payer policies and reimbursement methodologies. + Coding Systems expertise in ICD-10 and HCPCS codes + Strong understanding… more
- Mount Sinai Health System (New York, NY)
- …KPI's. 7. Research and analyze impacts of various State and Federal Medicare and Medicaid policies, regulations, legislation and other proposals, including managed ... care payer reimbursement policy changes. 8. Analyze impacts of various rate increase proposals. 9. Assist in special projects as needed. 10. Other relevant duties as assigned. **About Us** **Strength through Unity and Inclusion** The Mount Sinai Health System… more
- Insight Global (New York, NY)
- …specializes in health technology and provides remote patient monitoring to Medicare populations - specifically those with chronic illnesses (ex. Type2 diabetes, ... hypertension etc.). Patients use vital trackers for at home use and relay information via phone to the remote MA. This role acts as a health coach for chronic care management under the discretion of an MD. Responsibilities: This is a high call volume position.… 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
- Heritage Ministries (Gerry, NY)
- …term care preferred + Experience with authorization process preferred + Experience with Medicare / Medicaid processes If you have a passion for service, work life ... balance, and enjoy working with others, we want to speak with you! Apply now! *A full written job description is available upon request **We reserve the right to revise the essential position functions and responsibilities as the need arises. Requirements more
- Northern Rivers Family Services (Albany, NY)
- …for which provide billable services or are required to register with Medicaid/ Medicare based on their credential, department and position. + Work with organizational ... colleagues, contractors and insurance and entitlement program representatives, for credentialing all staff and independent contractors deemed necessary. + Prepare appropriate credentialing packages, provide list of required documents and information required… more
- Ellis Medicine (Schenectady, NY)
- …+ Adheres to all OMH, Joint Commission, Department of Health, Medicaid & Medicare regulations. + Coordinates treatment with treatment team to ensure high quality ... patient care. + Provides clinical services to patients who are on Assisted Outpatient Treatment (AOT) or other court-mandated treatment through the County and/or judicial system; this includes writing the AOT orders for the treatment team, submitting them to… 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 have been made… more
- Robert Half Finance & Accounting (Syracuse, NY)
- …provide insights to department leaders. * Manage regulatory filings, including Medicare cost reports and state-specific financial disclosures, with precision. * ... Reconcile general ledger accounts and investigate discrepancies to maintain financial integrity. * Create and review journal entries, accruals, and intercompany transactions to ensure proper documentation. * Support the budgeting, forecasting, and financial… more
- New York State Civil Service (Gansevoort, 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