- Lifespan (Rochester, NY)
- …of benefits and programs applicable to clients, including but not limited to SSI and Medicaid , MMLTC, VA, Medicare , SNT. . Must have attention to detail and, ... of clients. The case manager is responsible for processing Social Security, Medicaid and other benefit related applications. The Case Manager is responsible for… more
- Ellis Medicine (Schenectady, NY)
- …and reconciliation duties in Sorian Financials and reconcile deposit slips. + Review Billing Exception Report for Revenue Management, the Medicare system (FISS), ... setting preferred. + Must have knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9 coding and be able to apply such… 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. ... investigations of reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …base. This role requires a strong understanding of homecare regulations related to Medicare , Medicaid , and other insurance programs. The Intake Specialist will ... Home Health Aide Program (CHHA) and Managed Long-Term Care (MLTC), Medicaid , insurance verification, Maximus procedures, and MLTC enrollment. . Collaborate and… 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. ... Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains… more
- Cognizant (Albany, NY)
- …Director based on the review of clinical documentation in accordance with Medicare , Medicaid , and third-party guidelines. . Effectively document and log ... to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment. .… more
- Walgreens (Valhalla, NY)
- … billing and submission of claims to government-sponsored health care programs, including Medicare , Medicaid , and all other third-party payers, as well as the ... bodies and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare , accreditation bodies, compounding, FDA, etc.). + Complies with all federal… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... to analyze and report the financial performance for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that… more
- Walgreens (Buffalo, NY)
- …billing and submission of claims to government- sponsored health care programs, including Medicare , Medicaid , and all other third-party payers, as well as the ... bodies and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare , accreditation bodies, compounding, FDA, etc.). + Complies with all federal… more
- Rochester Regional Health (Rochester, NY)
- … Medicare Model: Operate within a globally capitated system under Medicare / Medicaid , allowing you the flexibility to optimize resources for maximized ... patients, their families, and their aspirations without the hassles of billing , productivity pressures, or insurance intricacies. + Patient-Centric Approach: With a… more