- Northern Rivers Family Services (Schenectady, NY)
- …psychology in New York State you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) ... to allow for your services to be billed through Medicare and Medicaid Benefits * Health care package: medical,...* Holiday Pay * 401 (K) plan * Life Insurance * Loan repayment assistance * Free training/CEU opportunities… more
- Evolent (Albany, NY)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action by a state medical… more
- Cognizant (Albany, NY)
- …based on the review of clinical documentation in accordance with Medicare , Medicaid, and third-party guidelines. . Effectively document and log claims/appeals ... Reviews can be based on InterQual, Milliman Clinical Guidelines (MCG), Medicare guidelines, and health insurer specific guidelines. . Review retro-authorizations in… more
- New York State Civil Service (Orangeburg, NY)
- …Ensuring compliance with OMH, The Joint Commission (TJC), the Centers for Medicare & Medicaid Services (CMS), and external regulatory agencies standards, cultural ... holidays each year. * Option to choose a health insurance plan that meets your needs. * Dental and...on any of the Federal and/or State Medicaid and Medicare exclusion lists. If appointed and subsequently listed as… more
- CVS Health (NY)
- …healthcare as it should be'', providing personalized primary care for older adults on Medicare , with the goal of keeping patients healthy and living life to the ... Mission-focused career impacting change and measurably improving health outcomes for medicare patients + Paid vacation, sick time, and investment/retirement 401K… more
- Cardinal Health (Albany, NY)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy … more
- Nuvance Health (Carmel, NY)
- …centers to ensure efficient and accurate patient scheduling, registration, insurance authorization, billing, coding, denial management and medical records ... management. 10.Responsible to summarize and distribute internal quality audits reports, Medicare billing report, telephone access reports and other reporting when… more
- Healthfirst (NY)
- …eligibility, exclusion, and exemption codes. + Searches in Marx (CMS) for Medicare eligibility, enrollments, and special elections. + Achieves daily, weekly, and ... Qualifications** + Work experience within the healthcare industry + Experience with Medicare or Medicaid managed care plan products such as, Family Health Plus… more
- New York State Civil Service (Staten Island, NY)
- …Oversee the billing of treatment services of the program to the insurance companies including submitting the required documents, obtaining authorizations, and timely ... maintain eligibility for full and unconditional participation in the Medicaid/ Medicare programs. Failure to maintain licensure, certification and Medicaid/… more
- New York State Civil Service (West Brentwood, NY)
- …client rehabilitation to ensure continuity of services.* May communicate with insurance companies to obtain both preauthorization and recurring reviews.* Conducts ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare … more