- New York State Civil Service (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 (Norwich, 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
- CenterWell (Hauppauge, NY)
- …the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience in the last 24 months as ... a Home Health Aide or Certified Nursing Assistant in a hospital, nursing home, home health/hospice agency. **Scheduled Weekly Hours** 1 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per… more
- New York State Civil Service (Rome, 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
- Trinity Health (Schenectady, NY)
- …transportation and more!) as well as provide our participants with their Medicare /Medicaid insurance coverage. Our team of Social Workers are supported by two ... Case Workers and play a crucial role in our unique model of care. As both the provider and insurer, we have the unique ability to assess participant needs, approve it and directly provide it. We coordinate care across settings-from home to ED/hospital, rehab,… more
- Weill Cornell Medical College (New York, NY)
- …coding. + Working knowledge of third party payor reimbursement - Medicare , Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working ... Conditions/Physical Demands** Standard office work Weill Cornell Medicine is an equal opportunity employer. For more information, click here (https://careers.weill.cornell.edu/about-weill-cornell/wcm-eeo-statement) . more
- Mohawk Valley Health System (Utica, NY)
- …clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as ... a liaison with payers to facilitate approvals and prevent denials or carved out days when appropriate. Provide telephonic and written appeals as requested for commercial payors. + Perform reviews and appeals. (Peer-to-peer, retrospective/closed record review,… more
- Mohawk Valley Health System (Utica, NY)
- …are received and is able to retrieve scanned documents. + Check for Medicare covered diagnosis utilizing current software. Obtains a waiver when necessary. + Prepare ... samples for testing to include centrifugation, checking specimens for appropriate testing levels and brings specimen concerns to the attention of a technologist. + Follow Trauma protocols for ordering trauma tests if not already ordered when specimens are… more
- Stony Brook University (Commack, NY)
- …care organization or payer. + Direct experience with NYS Medicaid and Medicare enrollment and recertification. + Experience setting up and managing the Council ... for Affordable Quality Healthcare (CAQH) profiles. + Knowledge of NCQA, TJC, CMS and New York State Education Department and New York State Department of Health Laws as they pertain to credentialing. + Demonstrate project management skills and be proficient in… more
- Mohawk Valley Health System (Utica, NY)
- …by the plan and services that are not a benefit of the plan ( Medicare Services). + Completes comprehensive assessment using the DOH approved tool to determine ... eligibility of medically necessary services. + Educates and completes with enrollee all necessary consents and documentation. + Initiates and carries out continuous assessment of physical, emotional, social, cultural, economic, and environmental needs of the… more