- Kelly Services (Rochester, NY)
- …required + Review and interpret prescription and medical benefit coverage (including Medicare D); document necessary information for clinical staff + Develop and ... regarding requests and clarify prior authorization information + Communicate with pharmacies/ physician offices for clarification on requests and claims + Act as… more
- Elevance Health (Middletown, NY)
- …extra-contractual arrangements, as permissible. + Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care ... state-specified certification based on state law and/or contract. + CHHA and/or Medicare Experience Preferred. For candidates working in person or virtually in the… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 165226 Job Description Monitors the activities and performance of physician practices to ensure that billing related functions are performed in an ... relevant experience, required. Preferred Experience + In-depth knowledge of Medicare and Medicaid billing regulations, guidelines, and compliance requirements (eg,… more
- Elderwood (Buffalo, NY)
- …social determinants of health. + Interacts continuously with members, family, physician (s), and other resources to determine appropriate behavioral action needed to ... driving record and dependable transportation + Must be in good standing with the Medicare and Medicaid programs. + Must be free of communicable disease. + Bilingual… more
- New York State Civil Service (Marcy, NY)
- …on patient behaviors* Apply physical restrains to patients as ordered by physician * Maintain a secure environment for patients, visitors, and staff Minimum ... individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program).… more
- Trinity Health (Schenectady, NY)
- …of trends in healthcare, combining an insurance role (we are the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare provider role ... dressing changes, COVID testing and collection of specimens/cultures as ordered by the physician . The LPN may assits in the oversign of unlicensed staff, ie. home… 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 ... the patient's inpatient stay. 4.Requests clarification of clinical documentation from the physician (s) on a concurrent basis as needed to ensure documentation is… more
- Bassett Healthcare (Milford, NY)
- …of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based ... reports, lab-work or films related to appointment are available for the physician at the time of the appointment using available resources. Language barriers… more
- Ellis Medicine (Niskayuna, NY)
- …at the direction of the interpreting Radiologist. Performs procedures according to Physician orders and Radiologist protocols. As a member of the Radiology Team, ... Department of Health (NYSDOH), American College of Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), and Joint Commission (TJC) standards + Complete… more
- University of Rochester (Brighton, NY)
- …healthcare provider to be seen, identifies referring provider and primary care physician , directs patients to next destination, obtains signatures as needed (eg, for ... + Assures completion of all appropriate forms by patients, such as, Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting… more