- 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
- Tarrytown Rehabilitation & Nursing Center (Houghton, NY)
- …reports to the Administrator. The admissions Coordinator will ensure that regulatory compliance is met by ensuring that activities are completed in accordance with ... position in healthcare environment + Long-term care experience required + Knowledge of Medicare and 3rd party billing + Knowledge of medical terminology + Ability to… more
- Garnet Health (Middletown, NY)
- …registration related denials, and maintaining high standards of operational excellence, compliance , and patient satisfaction. At Garnet Health, we are committed to ... processes preferred. In-depth knowledge of third-party Billing and Authorizations ( Medicare , Medicaid and Commercial Insurance) requirements in a Medical Group/… 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
- Excelsior Orthopaedics Group (Amherst, NY)
- …+ Maintain strict confidentiality of patient health and financial information in compliance with HIPAA and practice policies. + Demonstrate working knowledge of ... Epic, or similar) is required. + Comprehensive knowledge of commercial, Medicare , Medicaid, and workers' comp billing procedures preferred. + Strong analytical… more
- Highmark Health (Albany, NY)
- …make routine medical approval decisions. **This role is working within the Medicare and Medicaid line of business, supervising an outbound call center.** **ESSENTIAL ... RESPONSIBILITIES** + Manage the departmental operations and day-to-day functions. + Handle escalated calls from members, state agencies, providers and vendors. + Coach and counsel employees. + Prepare reports for various internal and external areas for trends… more
- City of New York (New York, NY)
- …Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs including ... new hires, rehires, transfers from other agencies, and current employees in compliance with citywide requirements and DOI policies utilizing City HRIS system, such… 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
- Molina Healthcare (Syracuse, NY)
- …programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes. + May engage and oversee ... years supervisory/management experience in a managed healthcare environment. + Medicaid/ Medicare Population experience with increasing responsibility. + 3+ years of… more
- Northwell Health (Staten Island, NY)
- …and post-discharge eligibility in relation to clinical course. + Ensures compliance with current state, federal, and third party payer regulations. + ... companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to… more