- Catholic Health (Buffalo, NY)
- …a regular basis + Request annual COI from clients and upload into CAQH + Complete Medicare and Medicaid re-validations when needed + Track when Medicare and ... Medicaid re-validations are needed + Submit completed payer applications to insurance payers + Follow up with insurance payers to ensure credentialing is moving forward + Create & maintain provider's CAQH + Remind practitioners of expiring DEA/Licensure +… more
- WMCHealth (Valhalla, NY)
- …accuracy of data on all documents and bills to third party billing companies, Medicare and Medicaid , as well as insurance denial review as appropriate. + ... procedures for Facility Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility, Insurance denial review and overturn… more
- New York State Civil Service (Hamburg, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... include:Being responsible for the oversite of some aspects of Medicaid billing and at times for the supervision of...ensuring all required components are included to meet the Medicaid billing requirements. Train day program staff on -… more
- Northwell Health (Valley Stream, NY)
- …Job Description Coordinates assessment of patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health ... requirements, assessing residents for Medicare and managed care benefits. Ensures continuous maintenance of Minimum Data Set (MDS) computer-records. Ensures the… more
- The Arc Wayne (Newark, NY)
- …System (NPPES), and to actively participate to allow for services to be billed through Medicare and/or Medicaid . + Must have a valid New York State driver's ... status and are identified as having a potential to bill to Medicare , require enrollment as a Medicare provider by obtaining and providing to Arc Wayne a National… more
- Molina Healthcare (Rochester, NY)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid / Medicare /Marketplace health coverage audit policies and be able to apply ... data from all types of healthcare providers that bill Medicaid / Medicare /Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure investigators are managing their… more
- Centene Corporation (Queens, NY)
- …+ Relationship building: Develop strong relationships with leaders across business products ( Medicaid , Medicare , and Marketplace) and shared services to be a ... deployment process and the expectations and deadlines with business products ( Medicaid , Medicare , and Marketplace) shared services leaders. + Prioritization… more
- New York State Civil Service (Bronx, NY)
- …their certifying exam.**Must be eligible for full and unconditional participation in the Medicaid and Medicare programs which must be maintained for continued ... eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification… more
- New York State Civil Service (Bronx, NY)
- …medical experience.**Requires eligibility for full and unconditional participation in the Medicaid and Medicare programs which must be maintained for ... eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …of the agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare , insurance companies, municipalities, Department of Health, school ... the Professions, the Office for People With Developmental Disabilities (OPWDD), Medicaid , Medicare , insurance companies, municipalities, Department of Health,… more