- MVP Health Care (Rockland County, NY)
- …Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP). ... + **Conduct both individual and group outreach activities** to present our innovative health care solutions on- and off-site at various events-from health fairs and community expos to festivals and holiday-themed gatherings-ensuring MVP's presence is both seen… more
- Stony Brook University (Ronkonkoma, NY)
- …the Attorney General or other State or Federal (HIPAA or Medicaid / Medicare investigations) and auditors as requested. + The individual must possess excellent ... verbal, writing, reading, problem solving, attention to detail, and analytical skills necessary to negotiate contract terms, resolve obstacles and develop contractual language that will meet all regulatory requirements. + Develop, negotiate and administer… more
- Mount Sinai Health System (New York, NY)
- …activities to meet standards and billing regulations set by governmental agencies like Medicare and Medicaid. + May chair or participate in department committees. + ... Performs other related duties. **About Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding… more
- CenterWell (Albany, NY)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... in managed care + Ability to manage end-to-end-processes + Understand Humana's business processes, systems, tools, regulations and structure and how they interrelate to provide products and services that create value for Humana members + Previous management… more
- The Arc Madison Cortland (Utica, NY)
- …+ Complete any forms for participation in insurance including, but not limited to Medicare and New York State Medicaid. Benefits include but not limited to: + 401K ... Employer Match + Health, dental and vision insurance + Group Life Insurance + Paid Time off + Tuition Assistance + 12 paid Holidays Requirements EDUCATION and/or EXPERIENCE:Physical therapy assistant with appropriate NYS license/eligibility. The Arc of Madison… more
- New York State Civil Service (West Brentwood, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs which must be maintained for continued employment. Failure to ... do so will result in the termination of your employment.** Qualifying post-licensure medical experience is; general medical experience in a private, clinical, or hospital medical practice which includes diagnosing and treating illness and injuries,… more
- New York State Civil Service (Staten Island, 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
- Elderwood (Lockport, 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
- Stony Brook University (East Setauket, NY)
- …Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of ... third-party payer reimbursement and managed care contracts. + Experience in utilizing insurance websites to check for eligibility and claim status. + Experience investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital… more
- CenterWell (Hauppauge, NY)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... to ensure the appropriateness of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + Participates in sales and marketing initiatives. + Supervises all… more