- Stony Brook University (Stony Brook, NY)
- …Assistant** **may include the following but are not limited to:** + Billing for Medicare (Part A & B), Medicaid, Private, Insurance, NAMI, Physician, and Adult Day ... General's office. + Monitor all Medicaid remittances, review any case denied, and rebill if necessary or call the...system and monthly closing functions. + Enroll residents in Medicare Part D plans. + Oversee all banking for… more
- Healthfirst (NY)
- …**8am-5pm or** **8:30am-5:30pm** **Duties and Responsibilities:** + Responsible for case development and resolution of clinical cases, such as: Pre-existing ... Update file documentation such as the file notes and case summary + Manage all duties within regulatory timeframes...(NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines + Ability to work independently… more
- Molina Healthcare (NY)
- …RN Licensure._ _Case Manager RN will work in remote setting supporting our Medicare /Medicaid population who have recently been admitted into Hospital. The Case ... position and productivity is important. Preferred candidates will have previous case management, managed care, hospital, and/or home health experience._ _This role… more
- Molina Healthcare (Rochester, NY)
- …FWA referrals to regulatory agencies and law enforcement. + Documents appropriately all case related information in the case management system in an accurate ... manner, including storage of case documentation following SIU related requirements. Prepares detailed preliminary...+ Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of… more
- CenterWell (Hauppauge, NY)
- …the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including ... the decision to admit patients to service. Assigns appropriate clinicians to a case , as needed. + Instructs and guides clinicians to promote more effective… more
- New York State Civil Service (Orangeburg, NY)
- …or psychiatrist. * Prepare reports and maintain medical and other case records including progress notes, observations, recommendations and discharge plans;* Attend ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- University of Rochester (Rochester, NY)
- …coordinate the Surgery Grand Rounds Lecture Series Schedule and Conference on Case Studies in Surgical Complications Lecture Series Schedule. Identify faculty to ... process the mandatory RSS "Grand Rounds" Application and RSS "Conference on Case Studies in Surgical Complications" Application annually for submission, as well as… more
- Datavant (Albany, NY)
- …+ Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare , commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- New York State Civil Service (Rochester, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result ... employment application may bar appointment or result in removal after appointment. Each case will be determined on its own merits, consistent with the applicable… more
- New York State Civil Service (Staten Island, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare ... employment application may bar appointment or result in removal after appointment. Each case will be determined on its own merits, consistent with the applicable… more