- Excellus BlueCross BlueShield (Rochester, NY)
- …investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case ... accuracy of information provided to providers, regulators, law enforcement, Legal, Compliance and outside counsel. Prepares cases for prosecution, civil settlement,… more
- Independent Health (Buffalo, NY)
- …Specialist will be responsible for sales acquisition and retention strategies for Medicare . They will be responsible for identifying, contacting, and following up ... with prospects in the Medicare market. They will staff Independent Health ...metrics are met. The Specialist will be responsible for compliance /adherence to CMS sales and marketing guidelines. They must… more
- Stony Brook University (Stony Brook, NY)
- …logs, etc. Leads the staff in a professional manner and assures staff compliance with all relevant laboratory and hospital policies and procedures. + Represents ... c. Lab IT Implementation Team: Specimen Receiving LIS System Manager . As LIS System Manager of the...result reporting; manual billing; and review billing invoices for compliance . Specifics include: finding the requested esoteric tests by… more
- Molina Healthcare (Syracuse, NY)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- Bassett Healthcare (Sherburne, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports + Ends calls by asking patient if there is anything else we can do ... for them today as observed by Supervisor and as noted in compliance reports + Takes clear, complete and accurate phone messages,(and follows up on these messages to… more
- Healthfirst (NY)
- …+ Performs first level review of all marketing materials to ensure compliance with State and Federal guidelines. + Prepares and submits marketing materials ... Responsible for entering, maintaining, and monitoring identified projects in Logic Manager and coordinates within Regulatory Affairs team. + Communicates and… more
- Option Care Health (Queens, NY)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...health agencies in the absence of a director or Manager of Nursing. + Manages daily activities with regards… more
- Nuvance Health (Carmel, NY)
- …management and medical records maintenance. Collaborates with clinical leaders and manager to develop policies and procedures that impact the outpatient ... all customers. 6.Represents outpatient rehab business team at meetings. 7.Ensures compliance with established practices. Trains staff and implements new policies and… more
- Access: Supports For Living (Middletown, NY)
- …per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager , the Senior Billing Specialist is a key position in the financial ... various payers' portals. + Maintain a working knowledge of OMH, OASAS, Medicare , Medicaid, Medicaid Managed Care and other payers' billing regulations for all… more
- Bassett Healthcare (Cooperstown, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports + Ends calls by asking patient if there is anything else we can do ... for them today as observed by Supervisor and as noted in compliance reports + Takes clear, complete and accurate phone messages,(and follows up on these messages to… more