- Centers Plan for Healthy Living (Staten Island, NY)
- …handle incoming inquiries via telephone, email or fax from providers (ie physician offices, clinics, social day cares, home care agencies, DME suppliers) regarding ... Plan for Healthy Living (CPHL), is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved… more
- New York State Civil Service (NY)
- …supervision of a doctoral level psychologist, licensed psychologist, licensed physician , licensed psychiatrist, psychiatric nurse practitioner, or licensed clinical ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- New York State Civil Service (NY)
- …conditions manifested by individuals, and report such symptoms or changes to a physician or registered nurse in order to provide information useful in diagnosis and ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- Blue Matter (New York, NY)
- …pharmacy benefit across all major US payer segments (eg, Commercial, Medicare , Medicaid, and Federal Markets) + Demonstrated knowledge of reimbursement methodologies ... across core sites of care, including physician offices / clinics, hospital outpatient departments, hospital inpatient, and long-term care settings + Prior experience… more
- Trinity Health (Schenectady, NY)
- …transportation and more!) as well as provide our participants with their Medicare /Medicaid insurance coverage. Our team of Social Workers are supported by two ... the Elderly provides a team-based model of care including a physician , RNs, LPNs, Home Health Aides, physical/occupation/speech therapists, social workers,… more
- Mohawk Valley Health System (Utica, NY)
- …are received and is able to retrieve scanned documents. + Check for Medicare covered diagnosis utilizing current software. Obtains a waiver when necessary. + Prepare ... are received in the lab to avoid delays in testing. + Contact physician offices and nursing homes to obtain information missing from scripts/requisitions or orders… more
- Mohawk Valley Health System (Utica, NY)
- …by the plan and services that are not a benefit of the plan ( Medicare Services). + Completes comprehensive assessment using the DOH approved tool to determine ... Durable Medical Equipment items and treatments as prescribed by the physician , submitting and maintaining appropriate medical orders and documentation. + Completes… 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 ... clinic, you will play a vital role in participant care, supporting our physician team and interacting with our Interdisciplinary team of nurses, social workers,… more
- WMCHealth (Valhalla, NY)
- …payors. + Develop, Implement and coordinate billing practices between hospital and physician groups to ensure uniform coding and documentation. + Recommend sound ... + Researches technical guidance in UB-92 Editor, CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance. +… more
- New York State Civil Service (Tarrytown, NY)
- …a Comprehensive Adult Transitional Home.* Assist with physician coverage as needed in sister regions.LinkedIn: ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more