- WMCHealth (Valhalla, NY)
- …& Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare /Medicaid billing regulations, and the 340B Drug Pricing Program + Participate in ... & Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare /Medicaid billing regulations, and the 340B Drug Pricing Program + Participate in… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification Number (or PTAN). Eligibility ... funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement , generous paid time off, including vacation and personal time, paid sick… more
- NASCO (Albany, NY)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on ... on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification and… more
- WMCHealth (Valhalla, NY)
- …accuracy of data on all documents and bills to third party billing companies, Medicare and Medicaid, as well as insurance denial review as appropriate. + Ability to ... Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility, Insurance denial review and overturn procedures. + Develop… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Masters Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification Number (or PTAN). Eligibility ... funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement , generous paid time off, including vacation and personal time, paid sick… more
- WMCHealth (Hawthorne, NY)
- …in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA) in ... Medical Staff Office by identifying, initiating, monitoring, and maintaining Medicaid and Medicare enrollment requirements. + Ensure proper attention is given to all… more
- National Health Care Associates (Melville, NY)
- …to personalized resident care plans and ensures the capture of clinical reimbursement for services provided. Fulltime; Monday - Friday** Weekly pay!** **Key ... prospective residents by assessing their nursing needs and determining appropriate clinical reimbursement levels + Complete and assure the accuracy of the MDS… more
- WMCHealth (Valhalla, NY)
- …payment of their medical treatment and to determine the method of payment/ reimbursement to Westchester Medical Center. This involves coordination with other Medical ... including Blue Cross/Blue Shield, Workers' Compensation, private insurance carriers, Medicare and Medicaid to verify the patient's eligibility for coverage,… more
- Albany Medical Center (Albany, NY)
- …selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is ... unethical and illegal to increase reimbursement by means that contradict requirements. ** Working Saturday or Sunday* is a requirement for this position** Essential… more
- Calvary Hospital (Bronx, NY)
- …by Calvary Hospital. Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital. Oversees the appeals process ... for those cases for which reimbursement has been denied. Conducts interdepartmental meetings related to the quality and utilization of clinical services. Serves on… more