- Project Renewal, Inc. (New York, NY)
- …with federal, state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid/ Medicare , Part 2). + Ensure the organization's compliance program meets FQHC ... or Article 28 experience strongly preferred). + Strong knowledge of HIPAA, Medicaid/ Medicare , Stark Law, Part 2, and healthcare regulatory standards. + Analytical… more
- Molina Healthcare (NY)
- …Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the CDPS model… more
- Catholic Health Services (Rockville Centre, NY)
- …complete assigned reports and provide accurate and timely information for review by the Director of Reimbursement or their designee. DUTIES/RESPONSIBILITIES: ... care analysis, home office cost reports, budget capital reports, and various Medicare / Medicare cost report schedules, working alongside Director and Staff.… more
- 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