- New York State Civil Service (Queens Village, NY)
- …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). ... If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or Federally assisted program), you may be terminated from your employment. Some positions may require additional… more
- Finger Lakes Health (Waterloo, NY)
- …Description Under the direction of the Director of Nursing-LTC, coordinates all Medicare assessments, care planning and reimbursement activities for the facility to ... assure compliance with regulatory agencies. na more
- Elderwood (North Creek, NY)
- …Elderwood at North Creek has earned a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York state average (3.33) and ... the national average (3.32). This distinction reflects our commitment to quality care, strong staffing, and high standards in safety and health outcomes. When you join our team, you become part of a facility that residents and families trust. Additional… more
- Elderwood (Waverly, NY)
- …experience within the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care ... Coordinator Skills and Competencies + Demonstrated proficiency with Microsoft Office + Bilingual English/Spanish speaking preferred + This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe… more
- New York State Civil Service (Schenectady, NY)
- …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). ... If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or Federally assisted program), you may be terminated from your employment.* OPWDD is an Equal Opportunity/Affirmative… more
- Elderwood (Williamsville, NY)
- …inventory. + Submits statistical reports to the Business Office staff for Medicare billing payments, and completes assessment forms upon request. + Attend staff ... meetings and required or preferred in-service training. + Participates in developing and conducting in-service training programs for facility personnel involved in resident care. + Reviews written speech-language policies and procedures annually and makes… more
- KPH Healthcare Services, Inc. (Camden, NY)
- …of + Seeks education/training or assistance with areas of + Stays current on Medicare guidelines for billing and dispensing as well as LCDs + Responsible for ... completing all mandatory and regulatory training programs IE. Bridge/DME training in a timely manner or as assigned + Accepts responsibility for professional nursing + Follows and stays current with applicable state and federal laws and company Policy and… more
- University of Rochester (Rochester, NY)
- …and all audits. + Coordinates response and resolution to Medicaid and Medicare credit balances. + Requests insurance adjustments or retractions. + Reviews and ... works all insurance credits in electronic health record. + Enters electronic health record notes, documenting actions taken. + Researches and responds to third party correspondence, receives phone calls, and explains policies and procedures involving routine… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and adolescent psychiatry without restrictions and free of sanctions from Medicaid or Medicare required. + Minimum of five (5) years of experience working with ... children in BH managed care settings or BH clinical settings (at least two (2) years must be in a clinical setting). + A minimum of ten (10) years medical experience and strong working knowledge of QM/UM. + Ability to identify, analyze and resolve complex… 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