- Fresenius Medical Center (Montebello, NY)
- …certification as defined by Center for Medicaid/ Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to ... organization culture, values, and customer service standards + Attendance and active participation in all applicable preceptor training programs as established by education leadership + Attends Fresenius and publicly offered skill-based training as assigned by… more
- Centene Corporation (Latham, NY)
- …within 90 days of employment) - If required by the Business Unit/Department **For Medicare only:** Travel up to 80% Must be willing to travel within assigned ... territory. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to… more
- CDPHP (Albany, NY)
- …as assigned Qualifications: + 3 years managed care experience with commercial, Medicare and Medicaid lines of business and regulatory requirements + Associates ... degree or two (2) years of equivalent experience required. + 1-3 years contract management experience preferred + Negotiation experience preferred + Demonstrated proficiency in Word, Excel, and PowerPoint + Understanding of legal and regulatory contract… more
- Dialysis Clinic, Inc. (Staten Island, NY)
- …and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures. **Schedule** : Full-time, five 8-hour shifts ... starting at 8am; Sundays off; no overnight shifts **Compensation** : Pay range from $18-$24 per hour, depending on qualifications and experience **Benefits** : + Comprehensive medical, dental and vision benefits + Life and long-term disability insurance… more
- Molina Healthcare (Rochester, NY)
- …experience with HEDIS programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience + Operational knowledge and experience ... with Excel and Visio (flow chart equivalent). + Proficiency with data manipulation and interpretation. + NCQA Accreditation experience. **Preferred Education** Master's Degree or higher in a clinical field, IT, Public Health or Healthcare Administration.… more
- Living Resources (Albany, NY)
- …program and necessary admission/discharge requirements + Knowledge of Medicaid, Medicare , SNAP and Social Security benefits and applications/certifications for each ... + Gather necessary documents for all new admissions + Ensure changes to individual's service authorizations and amendments are submitted to OPWDD + Collaborate with the finance department and benefit specialists to troubleshoot issues impacting billing and… more
- WMCHealth (Poughkeepsie, NY)
- …Knowledge of Patient management System(s), payer websites, medical terminology, Medicare medical necessity and commercial authorizations. Microsoft office products ... such as Excel, Word and Outlook. Document imaging systems and vendor management. About Us: NorthEast Provider Solutions Inc. Benefits: We offer a comprehensive compensation and benefits package that includes: + Health Insurance + Dental + Vision + Retirement… more
- Trinity Health (Syracuse, NY)
- …data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State ... and Private payer regulations. Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review Responsible for proofing daily charges for accuracy and clean claim submission Responsible for balancing charges and… more
- BronxCare Health System (Bronx, NY)
- …(1-2) years experience with verification/eligibility of insurance Familiar with Medicaid, Medicare and Managed Care guidelines Knowledge of medical terminology Must ... be detailed oriented Excellent verbal and written communication skills Bilingual (English & Spanish) preferred Excellent Customer Services and organizational skills Job LocationsUS-NY-Bronx ID2025-5114 Category Administrative/Clerical Position Type Regular… 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