- Centene Corporation (Queens, NY)
- …Department of Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will also ... and Local Department of Social Services and Center for Medicare & Medicaid Services (CMS regulations). Working in a...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- Centene Corporation (East Syracuse, NY)
- …and Salesforce are strongly encouraged to apply.** **Position Purpose:** Manages either the Medicare Sales or the Broker Field Sales teams to drive and achieve ... field or equivalent experience. 4+ years of experience in Sales, Healthcare, Medicare , CMS Regulations and/or Management. Experience in working with or managing… more
- Option Care Health (New Rochelle, NY)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... + Acts as Administrator and/or Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of a director or Manager of… 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
- The Wesley Community (Saratoga Springs, NY)
- …prompt follow-up and appeal submissions when necessary to minimize delays in reimbursement . + Process Private Pay statements and promptly follow up on delinquent ... members to resolve billing-related concerns. + Ensure compliance with Medicare /Medicaid billing requirements, regulatory standards, and facility specific protocols.… more
- 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