- 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 ... revenues.* Reviews financial ledgers and accounts to ensure accuracy and compliance with accepted financial principles, regulatory requirements, and to ensure… more
- Evolent (Albany, NY)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Elderwood (Hamburg, NY)
- …assesses information for the health and well-being of residents in Medicare - or Medicaid-certified nursing homes. Following federally-mandated procedures and using ... in nursing homes, but some are employed in other Medicare - or Medicaid-certified facilities. + The MDS Nurse supports...completion and submission of Minimum Data Set (MDS). + Compliance with Federal and State requirements, and facility policies.… more
- Evolent (Albany, NY)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Ellis Medicine (Schenectady, NY)
- …as well as, the high risk population, chronic medical problems, non- compliance issues, interdisciplinary and/or patient, family, requests + Participates in ... planning needs + Coordinates acute hospital to hospital transfers to ensure compliance with all the discharge planning regulations and transfer policy + Provides… more
- FlexStaff (Brooklyn, NY)
- …community awareness of PACE. + Stay updated on relevant regulations and ensure compliance with CMS, DOH, and Medicare /Medicaid guidelines. + Perform additional ... license. + Bilingual in Spanish. + Cannot have previously been a broker for Medicare /Medicaid. + Willingness to travel frequently. + Minimum of 2 years of experience… more
- WMCHealth (Hawthorne, NY)
- …and set up accurately with contracted payers. Work is performed in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare ... Medical Staff Office by identifying, initiating, monitoring, and maintaining Medicaid and Medicare enrollment requirements. + Ensure proper attention is given to all… more
- Access: Supports For Living (Middletown, NY)
- …various payers' portals. + Maintain a working knowledge of OMH, OASAS, Medicare , Medicaid, Medicaid Managed Care and other payers' billing regulations for all ... Understand and remain updated with current coding and billing regulations and compliance requirements + Oversight of self-pay processing and assist with monitoring… more
- Humana (Albany, NY)
- …of good security practices. **_Key Accountabilities_** **25% - 1. Manage Technology Compliance for TRICARE Contract** + Serve as a trusted advisor and representative ... Military Access Management Team for all activities related to the TRICARE Contract Compliance requirements as well as Contract Changes and requests. + Execute the… more
- The New Jewish Home (Bronx, NY)
- …activities, training and supervision of nursing and field staff and medical compliance issues. Reports To: AVP, Home & Community Based Services and/or Chief ... coordinated to guarantee the provision of safe and adequate care. o Ensures compliance by staff with all applicable Federal, State and local regulatory and… more