- Bassett Healthcare (Oneonta, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc.) based ... referral coordination including completing Open Referrals and/or referral tracking queue. Alerts Manager or Supervisor of referrals that are unable to be completed… more
- City of New York (New York, NY)
- …Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement Program and Pre-Tax Benefits & Citywide Programs, ... six years in fire, casualty or surety insurance as a corporate insurance manager , insurance agent, insurance underwriter or insurance broker; or b. High school… more
- Elderwood (Williamsville, NY)
- …cash and accounts receivable. + Responsible for assisting the Business Office Manager with general office duties. + This individual also processes physician and ... of one year previous Accounts Receivable experience required. + Working knowledge of Medicare A and B, Medicaid and third party insurance required. + Experience in… more
- Humana (Albany, NY)
- …largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Hannaford (Schodack Landing, NY)
- …of integrity, professionalism, and confidentiality. * Authorization to fill Medicare and Medicaid prescriptions. ESSENTIAL JOB FUNCTIONS: 1. Process prescriptions ... pharmacy laws and regulations. 2. Partner with store leadership and pharmacy manager to ensure financial performance of the department including sales growth,… more
- Elevance Health (Middletown, NY)
- …state-specified certification based on state law and/or contract. + CHHA and/or Medicare Experience Preferred. For candidates working in person or virtually in the ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Northern Rivers Family Services (Albany, NY)
- …tasks assigned by CFO, Controller, Director of Revenue Cycle Management or AR Manager based on workload. You will report to the Chief Financial Officer, until ... for which provide billable services or are required to register with Medicaid/ Medicare based on their credential, department and position. + Work with organizational… more
- Molina Healthcare (Syracuse, NY)
- …that involve clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal caseload as determined ... HCS Department staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and direction of… more
- Molina Healthcare (Albany, NY)
- …MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the ... Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare… more
- Humana (Albany, NY)
- …researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more