- Mohawk Valley Health System (Utica, NY)
- …case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA). Core Job ... transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of… more
- New York State Civil Service (Utica, NY)
- …of Title Addictions Counselor 1 (McPike ATC) (NY HELPS) Occupational Category Health Care, Human/Social Services Salary Grade 16 Bargaining Unit PS&T - Professional, ... client rehabilitation to ensure continuity of services.* May communicate with insurance companies to obtain both preauthorization and recurring reviews.* Conducts… more
- New York State Civil Service (Queens Village, NY)
- …of Title Addictions Counselor 2 (Creedmoor ATC) (NY HELPS) Occupational Category Health Care, Human/Social Services Salary Grade 18 Bargaining Unit PS&T - ... to: * Obtain clinical information of clients and assist in contacting insurance company for preauthorization payments, and/or file appeals on denials of… more
- BronxCare Health System (Bronx, NY)
- …healthcare experience One to two (1-2) years experience with verification/eligibility of insurance Familiar with Medicaid, Medicare and Managed Care guidelines ... with maintaining and furthering a positive public perception of BronxCare Health System and its employee. Responsibilities Patient Access Associate will perform… more
- Highmark Health (Albany, NY)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design...across multiple states. They must also be familiar with Medicare drug benefit design offerings that may differ by… more
- Highmark Health (Albany, NY)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... include legislators, consumers, special interest groups, advocacy agencies, CMS, state Medicare /Medicaid administrators, and other regulatory bodies such as DPW. +… more
- Catholic Health Services (Roslyn, NY)
- Overview St. Francis Hospital & Heart Center(R), part of the Catholic Health system, is a community hospital located in Roslyn, NY. Founded in 1922 by the Franciscan ... physicians, nurses and supporting medical professionals who put the health needs and safety of our patients first. For...to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction… more
- Catholic Health Services (West Islip, NY)
- …goals. + Create strategies for compliance with New York State Department of Health , Joint Commission, and Centers for Medicare and Medicaid Services requirements ... home beds) teaching hospital and a member of Catholic Health . With almost 900 physicians on staff, and a...the basics. In addition to multiple medical plans, life insurance , generous paid time off and flexible spending accounts,… more
- Guidehouse (New York, NY)
- …issues regarding compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG's. + Knowledge ... services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject...workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company… more
- Catholic Health (Buffalo, NY)
- …customer services skills and empathy while interacting with patients. + Familiarity with insurance plans; such as Medicare , Medicaid, private & commercial ... greet and assist patients with the registration process throughout Catholic Health 's Hospitals and ambulatory locations. Additional expectations of this role include… more