- Evolent (Albany, NY)
- …and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as "Great Places to Work" in 2021. In 2020 and 2021 Evolent in ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action… more
- New York State Civil Service (Orangeburg, NY)
- …individuals in treatment for chemical dependency;Or 3. current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- New York State Civil Service (Jamaica, NY)
- …its contracts.HFM represents approximately 1,200 - 1,500 state staff, 1,025 certified beds, and an operating budget of approximately $190 million.Illustrative ... projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews, and… more
- Sedgwick (Rochester, NY)
- …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- Molina Healthcare (NY)
- …and the site of service. This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and ... proficient knowledge of MS Suite, organized and analytical thinking. Experience with Medicare /Medicaid, MS 365 and familiarity with claims is highly preferred. The… more
- Sodus Rehab & Nursing Center (Johnstown, NY)
- …progress notes and re-certifications per facility policy. + Supervises Certified Occupational Therapy Assistants and unlicensed assistive personnel + Provides ... family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with...audits as directed + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility… more
- New York State Civil Service (Batavia, NY)
- …projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews, and ... Qualifications: This challenging opportunity requires competence in: I) preparing Medicare and Medicaid cost reports for healthcare facilities; II) utilizing… more
- Bassett Healthcare (Cooperstown, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based ... of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Obtains prior approval or prior authorization as needed. Communicates… more
- Project Renewal, Inc. (New York, NY)
- …with federal, state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid/ Medicare , Part 2). + Ensure the organization's compliance program meets FQHC ... Law, Public Health, Compliance, or a related field (Master's preferred). + Certified in Healthcare Compliance (CHC) or similar certification preferred. + Minimum 5… more
- Molina Healthcare (NY)
- …Opportunity for a Texas licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area; candidates should reside in Bexar ... will be given to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as… more