- Fresenius Medical Center (Camillus, NY)
- …vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements. Functions ... licensed nurse in accordance with FMCNA policies procedures and training and in compliance with regulations set forth by the corporation state and federal agencies.… more
- Comunilife (New York, NY)
- …and efficient services to clients consistent with high standards of care in compliance with funding sources and Comunilife's mission and vision + Ensure that ... programs and services are managed in compliance with contract and policy requirements of NYS-OMH, NYC-DOHMH,... with contract and policy requirements of NYS-OMH, NYC-DOHMH, Medicaid/ Medicare , HRA/HASA, OTDA, DHS, HUD, HPD, SAMSHA, MRT, ESSHI… more
- Catholic Health Services (Smithtown, NY)
- …college level is highly desirable. Skills, Knowledge or Abilities: Knowledge of Medicare , Medicaid and insurance required. Must have troubleshooting skills and the ... SCNH procedures Employee conducts himself/herself in conformity with the HIPAA Compliance Program and applicable institutional policies and procedures for patient… more
- WMCHealth (Hawthorne, NY)
- …the appropriate write-off codes + Monitors any denial vendor relationships for compliance and performance, and suggests modifications to Revenue Cycle leadership as ... necessary + Monitors contract compliance and escalates to Managed Care staff as needed...Demonstrated knowledge of healthcare management, collections management, Medicaid and Medicare . + Experience in establishing and managing claim denial… more
- Humana (Albany, NY)
- …the following: Inpatient medical coding, analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one of the following ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Albany, NY)
- …sector. + Familiarity with healthcare data standards, interoperability, and compliance frameworks. **Additional Information** To ensure Home or Hybrid Home/Office ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... cross-functional teams. + Detail-oriented with a focus on accuracy and compliance . **Preferred Skills:** + In-depth knowledge of healthcare revenue cycle processes,… more
- Robert Half Accountemps (Albany, NY)
- …representatives from commercial insurers and entitlement programs (eg, Medicaid/ Medicare ) to complete credentialing requirements. + Prepare credentialing packets, ... for credentialing activities with external billing partners. + Ensure compliance with all credentialing-related regulatory and accrediting requirements. + Support… more
- MVP Health Care (Tarrytown, NY)
- …(EP), HARP, On-Exchange Qualified Health Plans (QHP), Off-Exchange Plans, and Medicare Advantage plans to individuals at Federally Qualified Health Centers (FQHCs), ... (SMART). + Conduct spot checks at outreach locations and events to ensure compliance with enrollment requirements. + Lead enrollment process to ensure staff is… more
- Apicha Community Health Center (New York, NY)
- …+ Maintain schedule of coverages, including limits, annual premiums, deductibles, etc + Compliance and Collaboration: Prepare and submit the Public Goods Pool and ... Medicare Credit Balance reports, maintain supporting worksheets - oversee...to multitask, to problem solve, and work with diverse compliance / reporting requirements + Strong computer skills are… more