- New York State Civil Service (Rochester, NY)
- …procedures. * Assist with patient discharge planning, prepare discharge summaries, and review records for completeness.* As an integral part of a multi-disciplinary ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and/or Medicaid/ Medicare … 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 ... credentialing process, and demographics are processed in a timely manner. + Review and maintain provider data in the enrollment databases/rosters, ensuring all… more
- Kestra Medical Technologies, Inc (Buffalo, NY)
- …status + Completion of background check + Completion of drug screening testing + Review and agree to hospital policies and procedures + Completion of online courses, ... Food and Drug + Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- New York State Civil Service (Utica, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare ... response. Failure to do may result in a delay or failure to review your submitted materials. Tracking ID: Hourly/RN1P/McPike**Please provide your nurse ID number for… more
- New York State Civil Service (Brooklyn, NY)
- …procedures. * Assist with patient discharge planning, prepare discharge summaries, and review records for completeness.* As an integral part of a multi-disciplinary ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and/or Medicaid/ Medicare … 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 ... other staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor....and approval before acting, as noted by Supervisor. May review the electronic Confirm List daily, to confirm appointments… more
- New York State Civil Service (Albany, NY)
- …improvement, focus on prioritization and areas to be addressed through collaborative review and utilization of available data.* Serve as physician advisor to OPWDD ... Services.* Provide clinical recommendations to the Bureau of Service Allocation Research and Review (BSARR) regarding cases that do not meet standard level of care… more
- University of Rochester (Rochester, NY)
- …working claim activity in EPIC + Works in assigned EPIC follow up workqueue(s). + Review reason for claim denial - reason code or denial codes in EPIC. + View ... Payer Website link (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to...audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments or retractions.… more
- Stony Brook University (Ronkonkoma, NY)
- …Finally, the Contract Officer III may have extensive interactions with SUNY Counsel in the review of contracts that must be sent to the Office of the NYS Attorney ... or other State or Federal (HIPAA or Medicaid / Medicare investigations) and auditors as requested. + The individual...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Stony Brook University (Commack, NY)
- …accurate, up-to-date Managed Care contract databases and tracking tools. + Timely review contract terms and upon renewal draft necessary language revisions to ... settlement discussions, and reimbursement escalations. + Ensure compliance with Medicare and Medicaid reimbursement methodologies and stay current on...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more