- 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 ... - 4:30 pm M - F Summary: The Credentialing Specialist is responsible for assisting with the process of...phone call from Insurances, providers, client managers, practice and billing staff + Respond to numerous emails from clients,… more
- Molina Healthcare (Buffalo, NY)
- …representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Buffalo, NY)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …requires a strong understanding of homecare regulations related to Medicare , Medicaid , and other insurance programs. The Intake Specialist will collaborate ... the general supervision of the Intake & Recruitment Supervisor, the Intake Specialist is responsible for processing referrals received from the RiseBoro marketing… more
- Westchester Jewish Community Services (White Plains, NY)
- …processes with mental health or health care settings. + Proficient knowledge of Medicare / Medicaid billing policies. + Bi-lingual English/Spanish a plus! What ... each year. We are currently seeking a full-time Admitting Specialist to join our team. The Admitting Specialist... Specialist to join our team. The Admitting Specialist is involved in the processing of intakes/referrals for… more
- Stony Brook University (East Setauket, NY)
- …hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...claim drivers. + Expert knowledge of inpatient and outpatient billing requirements (UB-04, 837i). + Experience working with CPT/HCPCs… more
- New York State Civil Service (Middle Island, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade… more
- Molina Healthcare (Rochester, NY)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare , Marketplace and/or other government-sponsored program), or… more
- Mount Sinai Health System (Elmhurst, NY)
- …up projects for Claim Edit holds are placed for providers pending certification with Medicaid for electronic billing , and Follow Up work queues are monitored for ... the supervision of the Administrative Manager assists with the Medicaid enrollment and maintains files . 2. Assist with... enrollment and maintains files . 2. Assist with Medicare enrollment and maintenance file requests. 3. Submits updated… more
- New York State Civil Service (Little Valley, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade… more