- Highmark Health (Albany, NY)
- …skills, as well as conceptual and analytic skills in order to review and articulate corporate objectives and regulations across all relevant audiences. + ... and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance… more
- Owens & Minor (Kingston, NY)
- …and data to identify referral targets. + Partners with the Market VP to review sales territory call plan to achieve strategic goals. + Educates referral sources on ... the company to drive sales growth. + Communicate and clarify Medicare guidelines around private insurance procedures, pricing information, and product information… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …Demonstrates an understanding of MDS requirements related to varied payers including Medicare , Managed Care and Medicaid + Ensures timely electronic submission of ... on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends various other… more
- Molina Healthcare (Buffalo, NY)
- …and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and guidelines of risk adjustment ... degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li **Required License,… more
- The Wesley Community (Saratoga Springs, NY)
- …job: it's caring that starts in the heart. Primary Job Duties: + Prepare, review , and organize Medicaid application packets to aid and assist families through the ... skilled nursing/long-term care setting. + Knowledge of insurance payer types including Medicare , HMO and Private insurance as related to billing and Medicaid… more
- Fresenius Medical Center (Syracuse, NY)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness ensure nursing signatures are documented and ensure ... School diploma or GED Bachelor's degree preferred. + Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification or must meet… more
- Cardinal Health (Albany, NY)
- …preferred + Pharmacy Technician experience a plus, not required + Familiarity with Medicare and Medicaid + Proficient in Microsoft Office (Excel VLOOKUPS) + Strong ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: + Review and accurately code radiology procedures using ICD-10, CPT, and HCPCS codes. + Ensure compliance with current healthcare regulations and payer ... medical terminology and anatomy. + Strong understanding of insurance guidelines, including Medicare and Medicaid. + Proficient in EPIC systems for billing and coding… more
- Elderwood (Liverpool, NY)
- …other disciplines. + Attends Resident Care Planning and Family/Resident Care Plan Review meetings for residents currently in a speech-language treatment program. + ... inventory. + Submits statistical reports to the Business Office staff for Medicare billing payments, and completes assessment forms upon request. + Attend staff… more
- Heath System Services (Niagara Falls, NY)
- …medical necessity qualification, and prior authorization. + Maintain adherence to Medicare , Medicaid, and commercial payer standards. + Act as a resource ... based on data insights. + Prepare performance reports for leadership review . Cross-Department Collaboration: + Partner with departments such as billing,… more