- Molina Healthcare (Albany, NY)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services ( CMS ) and State regulatory requirements are met ... Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience + Proven… more
- Amgen (New York, NY)
- …+ Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services ( CMS ) policies and processes with expertise in ... to HCPs on how the products are covered under the benefit design (Commercial, Medicare , Medicaid) + Serve as a payer expert for defined geography and promptly… more
- Molina Healthcare (Yonkers, NY)
- …for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and Marketplace lines of business. This includes direct management ... to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. + Collaborate with legal, claims, provider… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …work operations by documenting and communicating needed actions to management ; discovering irregularities; determining continuing needs for Tele-Sale Agents, Benefit ... Navigators and Medicare Support Specialist. + Ensure all Tele-sale Agents, Benefit...Specialists are conducting activities that are in compliance with CMS /DOH and company guidelines by directly reporting to the… more
- Stony Brook University (Commack, NY)
- …Hospital, Stony Brook Eastern Long Island Hospital, Stony Brook Clinical Practice Management Plan, Inc., and Meeting House Lane Medical Practice, PC._ **Duties of ... Quarterly Database Review, Internal and External Roster Review, Monthly Expirables Management Review, Service Location Review, Billing Address Review. + Maintain… more
- Saratoga Hospital (Saratoga Springs, NY)
- …environment. The HIM Specialist is responsible for supporting the health information management processes within our healthcare system . This entry-level position ... our community. As part of the Albany Med Health System , we combine advanced technology with a deeply personal...understanding of Patient-Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services ( CMS ) quality measures… more
- The Institute for Family Health (New Paltz, NY)
- …Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile and maintain records, statistics and reports as necessary. ... + Troubleshoot billing and resolve problems with appropriate agencies, departments, and/or management + May assist with posting patient and insurance cash receipts,… more
- Fresenius Medical Center (Centereach, NY)
- …material assist devices for the heavier items. **EDUCATION** + Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification or High ... testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all...+ Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING… more
- Elderwood (North Creek, NY)
- …! Elderwood at North Creek has earned a 4-star rating from the Centers for Medicare and Medicaid Services ( CMS )-exceeding both the New York state average (3.33) ... adjusts schedule to meet the needs of the facility. + Utilizes electronic timekeeping system as directed. + Recognizes and follows the dress code of the facility… more
- Molina Healthcare (NY)
- …and demonstrate proficiency in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ... Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing… more