- The Institute for Family Health (New Paltz, NY)
- …Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile and maintain records, statistics and reports as necessary. ... executing disciplinary actions + Understanding of medical Commercial, Medicaid, Medicare and Supplemental Payment Programs, Billing and Collections processes… more
- New York State Civil Service (Brooklyn, NY)
- …chemical dependency;Or 3. current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For Therapeutic Recreation ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- CVS Health (Albany, NY)
- …applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + Experience with International Classification of Disease (ICD)… more
- Molina Healthcare (Albany, NY)
- …and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and Marketplace lines of business. + PMP, Certified… more
- Evolent (Albany, NY)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Adecco US, Inc. (Syracuse, NY)
- **Job Title:** Lead Claims Specialist **Location:** Syracuse, NY **Job Type:** Contract to hire **Pay Rate:** $42 - $45 per on w2. Position Overview: We are seeking ... a detail-oriented and experienced **Lead Claims Specialist ** to manage complex and high-exposure claims. This role...Handle claim recoveries including subrogation, Second Injury Fund, and Medicare offsets. + Report claims to excess carriers and… more
- New York State Civil Service (Newark, NY)
- …administrative services, administrative oversight, training, special education, behavior specialist , habilitation specialist , project management, research, or ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- MVP Health Care (Schenectady, NY)
- …in payment integrity or cost containment. + Multi-line expertise (Medicaid, Medicare , Commercial). + Certifications such as: CPC (Certified Professional Coder), CCS ... (Certified Coding Specialist ), CFE (Certified Fraud Examiner), CHFP (Certified Healthcare Financial Professional), Lean Six Sigma, CDEO (Certified Documentation… more
- University of Rochester (Rochester, NY)
- …and all audits + Coordinate responses and resolution to Medicaid and Medicare credit balances. + Request insurance adjustments or retractions. + Review and ... a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement… more
- New York State Civil Service (NY)
- …administrative services, administrative oversight, training, special education, behavior specialist , habilitation specialist , project management, research, or ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more