- Humana (Albany, NY)
- …our caring community and help us put health first** The Bilingual Telephonic UM Coordinator / UM Administration Coordinator 2 provides non-clinical support ... treatment, care or services for members. Bilingual Telephonic UM Coordinator + Primarily receive calls from Providers, Hospitals, Skilled...+ Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all… 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 ... at RTP are required. Remote location must be within 2 hours of RTP and within New York State....trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and… more
- New York State Civil Service (Bronx, NY)
- …utilization review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or* Possession of a ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Bronx Psychiatric Center, P26793 Occupational Category Health Care,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making and implementation of ... Presents results and learning opportunities to the team. * Serves as a coordinator and key business resource for the Risk Adjustment Coding Coordination Team. *… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …+ Demonstrates an understanding of MDS requirements related to varied payers including Medicare , Managed Care and Medicaid + Ensures timely electronic submission ... MDS Coordinator RN The Glengariff Healthcare Center is looking...active license in state of practice. + Minimum two ( 2 ) years of clinical experience in a long term… more
- Humana (Albany, NY)
- … contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Tarrytown Rehabilitation & Nursing Center (Houghton, NY)
- Admission Coordinator Full job description Job Type: Full-time Work Location: In person We offer the Following: + Great Benefits Package Benefits: + 401(k) + Dental ... insurance + Health insurance + Paid time off OVERVIEW: The admissions Coordinator reports to the Administrator. The admissions Coordinator will ensure that… more
- Living Resources (Albany, NY)
- …understanding each program and necessary admission/discharge requirements + Knowledge of Medicaid , Medicare , SNAP and Social Security benefits and ... Community Living Case Manager (QIDP)/Intake Coordinator Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12203) Job Type Full-time Description Living… more
- University of Rochester (Rochester, NY)
- …for the Department of Surgery Billing Office. - Prepares and sends any Medicaid / Medicare certification/revalidation forms for faculty, NPs/PAs and Medicare ... of the individual, and internal equity considerations._ **Responsibilities:** The Department Coordinator IV coordinates and supports the Department of Surgery and… more
- CDPHP (Latham, NY)
- …contracts, as assigned Qualifications: + 3 years managed care experience with commercial, Medicare and Medicaid lines of business and regulatory requirements + ... be a part of that experience. The Network Optimization Coordinator completes all NYS, federal and regulatory HNS filings,...Associates degree or two ( 2 ) years of equivalent experience required. + 1-3 years… more