- Molina Healthcare (NY)
- …Licensure._ _Case Manager RN will work in remote setting supporting our Medicare /Medicaid population who have recently been admitted into Hospital. The Case Manager ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
- St. Mary's Healthcare (Amsterdam, NY)
- …and government or self-payers. . Research, analyze, and reconcile Medicare /Medicaid billing and reimbursement practices. . Consult with appropriate parties ... GED required. Minimum of three (3) years relevant experience required. . Certified Revenue Cycle Representative (CRCR) Certification within twelve (12) months of… more
- New York State Civil Service (Schenectady, NY)
- …some travel within NY State to assist other districts with special projects.* Certified training in Asbestos Operation and Maintenance will be required within 90 ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Centene Corporation (New York, NY)
- …healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the ... MD or DO without restrictions + Must reside in New York + Board certified in Internal Medicine or Family Medicine + Utilization Management experience and knowledge… more
- Molina Healthcare (Rochester, NY)
- …on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical ... Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you are… more
- Humana (Albany, NY)
- …on continuously improving consumer experiences **Preferred Qualifications** + CPC ( Certified Professional Coder) Certification + Proficiency in data analysis tools ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Bassett Healthcare (Milford, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc.) based ... health information for scanning per Document Imaging procedures as observed by certified document imaging staff or Supervisor Completes indexing and scanning of… more
- Catholic Health Services (Roslyn, NY)
- …on Long Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job Details We ... relevant PA electives or clinical background Certification: Physician Assistant Certified (PA-C) or Acute Care Nurse Practitioner certification (ACNP) BLS/ACLS/AED… more
- YAI (Brooklyn, NY)
- …DO degree + Completion of an ACGME-approved family medicine residency program + Board certified or board eligible in family medicine + Valid DEA registration and New ... primary care physician + Experience with the I/DD patient population + Active Medicare and NYS Medicaid registration + Familiarity with the NextGen EHR Compensation:… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Qualifications: + Must hold a NYS medical license as a physician board certified in child and adolescent psychiatry without restrictions and free of sanctions from ... Medicaid or Medicare required. + Minimum of five (5) years of experience working with children in BH managed care settings or BH clinical settings (at least two (2)… more