- Humana (Albany, NY)
- …Facilities and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for ... help us put health first** The Bilingual Telephonic UM Coordinator / UM Administration Coordinator 2 provides...over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid… more
- University of Rochester (Rochester, NY)
- …correctly in the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report - - Claim ... variances and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer… more
- CVS Health (Albany, NY)
- …encourage people with military experience. As a Complaints Tracking Module (CTM) Senior Coordinator , you will be part of the Medicare Complaints Tracking Module ... (CTM) Team, responsible for researching and resolving Medicare complaints received via the Centers for Medicaid and Medicare Services (CMS). In this role,… more
- WMCHealth (Warwick, NY)
- …to other providers, regulatory agencies, billing agencies, and auditing agencies including Medicare , Medicaid , and third-party billers. + Scans, uploads, and ... Clinical Coordinator Company: Schervier Pavilion City/State: Warwick, NY Category:...+ Obtain Pre-Admission Authorizations and continued stay authorizations with Medicare , Medicare Advantage, Medicaid , and… more
- National Health Care Associates (Melville, NY)
- …federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs ... to join our team! **-** **What You'll Do:** As an MDS Coordinator / Nurse Assessment Coordinator , you will complete and assure the accuracy of Minimum Data Set… more
- Elderwood (Waverly, NY)
- …of experience within the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care ... Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator … more
- Preferred Home Care of New York (Brooklyn, NY)
- …Office who understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance, and is committed to excellence in ... Home Care Intake Coordinator Summary **Title:** Home Care Intake Coordinator...+ Send referral to MLTC for potential enrollment or Medicaid assistance + Send referral to appropriate CHHA for… more
- The Institute for Family Health (New Paltz, NY)
- …the FQHC/Article 28, Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile and maintain records, statistics ... REVENUE CYCLE COORDINATOR Job Details Job Location New Paltz Family...and executing disciplinary actions + Understanding of medical Commercial, Medicaid , Medicare and Supplemental Payment Programs, Billing… more
- Independent Health (Buffalo, NY)
- …Independent Health policies, summary plan descriptions, member contracts, and Centers for Medicare and Medicaid Services (CMS) guidelines for all lines of ... managers, attorneys, other insurance companies, regulatory agencies (ie Centers of Medicare and Medicaid ) and internal departments effectively. + Identify… more
- Elderwood (Hamburg, NY)
- …and assesses information for the health and well-being of residents in Medicare - or Medicaid -certified nursing homes. Following federally-mandated procedures and ... in nursing homes, but some are employed in other Medicare - or Medicaid -certified facilities. + The MDS...-certified facilities. + The MDS Nurse supports the MDS/PPS Coordinator in completion of PPS and/or OBRA assessments for… more