- BronxCare Health System (Bronx, NY)
- …changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare . Keeps front-end administrators up-to-date with payer changes or guidance. - ... Maintains and reconciles daily therapy services. - Assists clinics in account updating and information reporting. - Performs in-service as needed for insurance identification and reporting. Coaching and performance reviews for various clinic locations. -… more
- WMCHealth (Valhalla, NY)
- …and maintain professional attire and demeanor. Knowledge of medical insurances ( Medicare , Commercial, HMO's, PPO's, etc.); EMTALA regulations, hospital billing and ... collection processes. Microsoft office products such as Excel, Word, PowerPoint, and Outlook. Document imaging systems and vendor management. Have knowledge of concepts, practices of hospital operations and procedures. Possess interviewing and communication… more
- UHS (Johnson City, NY)
- …Staff, and in conformity with the requirements for reimbursement under Medicaid, Medicare and other third party payers. Salary Range $400,800 - $421,800 annually ... This position is benefits eligible. Shift: Day Hours per week: 40 Salary range: Variable by position and experience, please see range details in the job description. Director Anatomic Pathologist (Physician) / Overview Key Responsibilities and Expectations… more
- Guthrie (Corning, NY)
- …licensure/registration and standing, Queries the National Practitioner Data Bank and Medicare /Medicaid site for fraud and abuse and ECFMG verification, Sends ... reference request letters to all listed references and past hospital affiliation, Reviews completed application with Medical Director and Chief of Service. Advises applicants of final appointment decision and informs appropriate departments relative to… more
- Molina Healthcare (Buffalo, NY)
- …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience is ... highly preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience**… more
- Albany Medical Center (Albany, NY)
- …by following the ICD-10-CM/PCS and Uniform Hospital Discharge Data Set (UHDDS), Medicare , Medicaid and other fiscal intermediary guidelines. Support the reporting of ... healthcare data elements (eg diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (eg reimbursement, value based purchasing initiatives and other administrative uses, population… more
- Phoenix House (Long Island City, NY)
- …BLS and/or ACLS + Preferred National Provider Identifier (NPI) + Preferred Medicaid/ Medicare Number **REQUIRED EXPERIENCE** + At least three years related experience ... + Qualified by training, education, and experience in providing nursing care for chemically addicted patients and patients withdrawing from alcohol and or drugs **WORK ENVIRONMENT** + This job operates in an indoor medical clinical environment.This role also… more
- Calvary Hospital (Bronx, NY)
- …+ Coordinate assessment and documentation requirements for continued Medicare /Medicaid Recertification's. + Prepare statistical reports for Corporate Compliance ... Regulations @ Home and QA & I. + Maintain overall supervision of discharge medical record completion prior to final filing. + Performs other related duties as assigned. Requirements Qualifications: + Current NYS RN License + Current Driver's License. +… more
- Trinity Health (Syracuse, NY)
- …as well as community-based organizations. + Explains to patient/family the Medicare important notice, their appeal rights and 3-day qualifying hospital stay ... requirements for Sub Acute Rehabilitation coverage services if appropriate. + Facilitates patient transfers to other healthcare organizations in accordance with hospital policies and all applicable State and Federal guidelines/ regulations and Joint Commission… more
- Centene Corporation (New York, NY)
- …state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives + Identify, evaluate and ... analyze the impact of state legislative and regulatory issues and advise management concerning impact + Represent senior management at various committees, meetings, and seminars + Performs other duties as assigned + Complies with all policies and standards… more