- Humana (Albany, NY)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare Advantage requirements and will understand… more
- SUNY Upstate Medical University (Syracuse, NY)
- …with practice). Must have Masters Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification ... Message to Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year (3% quarterly/5% annual… more
- SUNY Upstate Medical University (Syracuse, NY)
- …with practice). Must have Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification ... Message to Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year (3% quarterly/5% annual… more
- SUNY Upstate Medical University (Syracuse, NY)
- …with practice). Must have Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification ... encouraged to apply. Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year (3% quarterly/5% annual… more
- SUNY Upstate Medical University (Syracuse, NY)
- …with practice). Must have Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification ... Number (or PTAN). Eligibility criteria for NP requires National Certification through AANP or ANCC prior to hire. Current BLS certification through the American Heart Association or the American Red Cross is required. Preferred Qualifications: Emergency… more
- SUNY Upstate Medical University (Syracuse, NY)
- …with practice). Must have Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification ... Number (or PTAN). Eligibility criteria for NP requires National Certification through AANP or ANCC prior to hire. Current BLS certification through the American Heart Association or the American Red Cross is required. Preferred Qualifications: Psychiatric… more
- Humana (Albany, NY)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- Humana (Albany, NY)
- …of the responsibilities: + Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance... Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers… more
- Callen-Lorde Community Health Center (New York, NY)
- …to lead, train, and mentor teams on complex processes. + Experience with Medicaid, Medicare , ACA plans, and private insurance . + Proficiency with EPIC EHR and ... laws and regulations, and serves as a key resource for billing and insurance verification processes. You'll play a critical role in: + Supervising and guiding… more
- ConvaTec (Massapequa, NY)
- …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid, commercial and private insurance payers. Verifies accuracy ... of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims.… more