- New York State Civil Service (Newark, NY)
- …with clinical experts, Life Plans and QLR meetings.6. Ensure compliance with 633.16 Person-Centered Behavioral Intervention.7. Participate in Psychology Department ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- …are required based on DRG/ALOS or type of care provided outside the Medicare Rate. This position includes payment reconciling for Community Care medical claims ... independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations. iii. Ability to… more
- Rochester Regional Health (Rochester, NY)
- …and efficiency. + Verify insurance eligibility, process co-payments, and ensure compliance with third-party payer requirements. + Answer calls professionally, assist ... to advocacy programs as needed. + Obtain necessary signatures, complete required Medicare forms, and maintain accurate records. + Support new staff orientation,… more
- New York State Civil Service (Newark, NY)
- …with clinical experts, Life Plans and QLR meetings.6. Ensure compliance with 633.16 Person-Centered Behavioral Intervention.7. Participate in Psychology Department ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- CVS Health (Albany, NY)
- …issues. + Manages operational aspects of the team (eg, budget, performance, and compliance ), and implements workforce and succession plans to meet business needs. + ... of 3 years managing/leading a team. + Experience working in Medicare , Medicaid, or Commercial Health Insurance. **Preferred Qualifications** + Experience working… more
- Bassett Healthcare (Cooperstown, NY)
- …accordance with standard operating procedure to support reimbursement and regulatory compliance and patient care. When appropriate prior authorizations are obtained ... collection of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Date stamps in all incoming patient related information and… more
- New York State Civil Service (Newark, NY)
- …with clinical experts, Life Plans and QLR meetings.6. Ensure compliance with 633.16 Person-Centered Behavioral Intervention.7. Participate in Psychology Department ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Apicha Community Health Center (Jackson Heights, NY)
- …and weekend call rotation + Evenings and weekends shifts may be required Compliance + Complete charting in EMR (eClinicalWorks) and required clinical and billing ... of Apicha as adopted by Apicha from time to time. + Participate in Medicare , Medicaid and such other third-party health insurance plans as determined by Apicha from… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal ... 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
- 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