- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services ( Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... support of the department and organizations goals and objectives. + Ensures compliance with department and organizational policies and procedures. + Supervises and… more
- Molina Healthcare (NY)
- …to meet critical needs + Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management + Consultative role, develops business case ... methodologies for programs, develops and coordinates implementation of business strategy + Collaborates and facilitates activities with other units at corporate and Molina Plans. **JOB QUALIFICATIONS** **Required Education** Bachelor's degree or equivalent… more
- Mount Sinai Health System (Astoria, NY)
- …plan to correct errors. + Work directly with MSQ Departments to ensure compliance with Medicare & Medicaid enrollment. Ensure that Annual Medicaid ... preferred. + **Experience:** Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing experience… more
- Mount Sinai Health System (New York, NY)
- …outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** ... codes for existing and new services. Assures that updated fee schedules for Medicare , Medicaid, commercial and managed care carriers are correctly entered in the… more
- Project Renewal, Inc. (New York, NY)
- … with federal, state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid/ Medicare , Part 2). + Ensure the organization's compliance program meets ... Title: Senior Manager, Compliance Program: Legal, Varick Headquarters Salary Range: $90,000...28 experience strongly preferred). + Strong knowledge of HIPAA, Medicaid/ Medicare , Stark Law, Part 2, and healthcare regulatory standards.… more
- Mount Sinai Health System (New York, NY)
- …Description:** + Ensure Compliance with NYS Prenatal Care Regulations + Ensure compliance with Medicare Teaching Physicians rules (TPR) - This relates to ... institution also received a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric emergency department in New… more
- The Wesley Community (Saratoga Springs, NY)
- …families and team members to resolve billing-related concerns. + Ensure compliance with Medicare /Medicaid billing requirements, regulatory standards, and ... setting. + Extensive knowledge of billing procedures for all payer types including Medicare , NY Medicaid, HMO and Private insurance. + Experience with Private Pay… more
- CenterWell (Hauppauge, NY)
- …of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team ... Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical… more
- Stony Brook University (Commack, NY)
- …(JOC) meetings, contract settlement discussions, and reimbursement escalations. + Ensure compliance with Medicare and Medicaid reimbursement methodologies and ... management of all Managed Care contracts for the health system, ensuring compliance with contractual obligations, State and Federal regulations, and alignment with… more
- Rochester Regional Health (Rochester, NY)
- …Health Agency (CHHA) clients under the direction of a Registered Nurse and in compliance with Medicare , Medicaid, and NYS Department of Health regulations. The ... with Federal, State, and organizational standards, ensuring quality and compliance across all assigned patient interactions. + Collaborates with Registered… more