- Aveanna Healthcare (Hamburg, NY)
- …to a patient. * Demonstrated proficiency in clinical assessments, documentation and compliance with aide care and policies and procedures Other Skills/Abilities * ... Contractors, and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Centene Corporation (New York, NY)
- …all member's clinical information in health management systems to ensure compliance with regulatory guidelines + Assists with providing education to providers ... and determine medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- New York State Civil Service (West Seneca, NY)
- …store critical milestone data to track reform progress and regulatory compliance .-Handle incoming telephone calls or refer calls to appropriate staff.-Schedule and ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Callen-Lorde Community Health Center (New York, NY)
- …This role manages a growing team, develops and refines operational practices, ensures compliance with all applicable laws and regulations, and serves as a key ... lead, train, and mentor teams on complex processes. + Experience with Medicaid, Medicare , ACA plans, and private insurance. + Proficiency with EPIC EHR and Microsoft… more
- Charles Evans Center (Bethpage, NY)
- …collections + Review and update billing policies and procedures for efficiency and compliance + Ensure correct insurance is collected and verified at time of visit ... front desk supervisor on billing issues + Monitor provider credentialing with Medicaid, Medicare , and commercial plans + Assist with review and negotiation of payer… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …the business territory including major accounts and large players (ie, Commercial, Medicare , and Medicaid) *Understanding of Hospital formulary with guidance of RSD ... or local system/institution/account (financial vs clinical). Legal, Ethics & Compliance : *Ensure appropriate training and alignment to guidance. Skills/Qualifications/Education… more
- HCR Home Care (East Syracuse, NY)
- …. + Adhere to and participate in Agency's mandatory HIPAA/Privacy Program and Employee Compliance Program . + Read and adhere to all Agency policies and procedures ... certified home health care . + Previous supervisory/leadership experience + Medicare home health experience and management experience . + Organized, detail-oriented… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more