- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation, coding ... **Preferred Qualifications** + Bachelor's Degree + Previous experience in Medicare Advantage or Value-Based Care + AAPC CRC (Certified...time that is best for your schedule. **Work At Home / Internet Guidance:** To ensure Home … more
- Trinity Health (Schenectady, NY)
- …for our participants) with a comprehensive healthcare provider role (primary care, home health , adult daycare, transportation, all coordinated by an ... and administering medications + Educate patients and families on health conditions and care plans + Maintain accurate and...local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly… more
- University of Rochester (Rochester, NY)
- …in the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report - - Claim Edits - ... and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer audits. -… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... residence + Eligibility to participate in federal prescription programs (eg, Medicare /Medicaid) + Self-directed with the ability to work effectively both… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Program Delivery Lead strategically identifies, develops, and implements programs that ... demonstrate the following attributes: . Strong understanding of the Medicare Advantage payment model and value based care ....Sigma Certification also a plus **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to… more
- Catholic Health Services (West Islip, NY)
- …organizational goals. Create strategies for compliance with New York State Department of Health , Joint Commission, and Centers for Medicare and Medicaid Services ... University Hospital is a 537- bed (including 100 nursing home beds) teaching hospital and a member of Catholic... beds) teaching hospital and a member of Catholic Health . With almost 900 physicians on staff, and a… more
- Rochester Regional Health (Rochester, NY)
- …Family Cottages, has achieved and maintained a five-star rating from the Centers for Medicare and Medicaid Services (CMS) since 2013. Only 10% of nursing homes in ... + Provides comprehensive skilled therapy assessments, formulates a comprehensive plan of home care services for assigned clients based on skilled therapy assessment.… more
- Amgen (New York, NY)
- …on patient-level reimbursement issue resolution, requiring knowledge and experience with patient health information (PHI). + Act as an extension of the HUB, ... the products are covered under the benefit design (Commercial, Medicare , Medicaid) + Serve as a payer expert for...specific) + General office demands - Remote, Work from Home . + One to two home office… more
- SUNY Upstate Medical University (Syracuse, NY)
- …physician. 5. Prescribes medical equipment, devices, physical and occupational therapy, and home health services per practice protocol. 6. Facilitates the ... continuity of care across the continuum of services, eg home care, other facilities, appointments with MDs etc. 7....consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or… more
- SUNY Upstate Medical University (Syracuse, NY)
- …DEA authorization). + Prescribes medical equipment, devices, physical and occupational therapy, and home health services per practice protocol. + Practices as a ... evaluations, admissions, and discharges. Job Responsibilities: + Performs complete health history, physical examination and psychosocial assessment of patients… more