- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Molina Healthcare (Yonkers, NY)
- …with clinical leadership and quality improvement teams. * Facilitates conformance to Medicare , Medicaid , NCQA and other regulatory requirements. * Reviews ... quality referred issues, focused reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees as required such as credentialing,… more
- Ellis Medicine (Niskayuna, NY)
- …State Department of Health (NYSDOH), American College of Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), and Joint Commission (TJC) standards + ... Complete and update all employment requirements, including all required continuing education courses, continuing experience requirements, Employee Health, Radiology competencies, and credentials + Performs all functions of the modality within the scope of… more
- Help at Home (Industry, NY)
- …+ Understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance. + Understanding of communicating effectively ... with employee, patients and their families, medical and community affiliates in order to develop positive relationships. + **Benefits:** + Weekly pay with salary ranges from $22- $25 hourly. + Direct deposit + Healthcare, dental, and vision insurance + Paid… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- BrightSpring Health Services (New Hyde Park, NY)
- …or some college preferred + Experience working with all payer types, including Medicare , Medicaid and commercial insurance companies + Knowledge of insurance ... verification and pre-certification procedures + Understands the scope of services that Amerita can provide + Strong verbal and written communication skills **To perform this role will require constantly sitting, standing and typing on a keyboard with fingers,… more
- Northwell Health (Lake Success, NY)
- …of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. Generates queries and have ... follow up discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate… more
- HCR Home Care (Rochester, NY)
- …able to problem - solve effectively. + Possess es knowledge of the Medicare / Medicaid guidelines governing home health agencies. + Organized, detail-oriented , ... and possesses effective oral and written communication skills. + Able to work independently , with minimal direction or management oversight . + Excellent customer service skills. Work Environment The Afterhours/Weekend CFSS is primarily in an office setting… more