- Saratoga Hospital (Saratoga Springs, NY)
- …of Science degree in Dietetics or Foods & Nutrition (required) + Board Certified Specialist in Oncology (CSO) or Certified Diabetes Care and Education Specialist ... as a Dietitian-Nutritionist (CDN) with New York State Department of Education; Medicare Provider Number and credentialing through CAQH. Must hold valid NYS driver's… more
- New York State Civil Service (West Seneca, NY)
- …(LCAT) in New York State; certification as a Therapeutic Recreation Specialist (CTRS) by the National Council for Therapeutic Recreation Certification (NCTRC); ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …the business territory including major accounts and large players (ie, Commercial, Medicare , and Medicaid) *Understanding of Hospital formulary with guidance of RSD ... needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist ) *Gather and provide customer insights to Marketing teams for development… more
- Cognizant (Albany, NY)
- …is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of ... with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. * 1 year of… more
- University of Rochester (Albany, NY)
- …but not limited to, The Joint Commission TJC, Center for Medicaid and Medicare Services (CMS), National Committee for Quality Assurance (NCQA), State Department of ... Medical Services Management upon hire preferred + Certified Provider Credentialing Specialist (CPCS) upon hire preferred The University of Rochester is committed… more
- Cardinal Health (Albany, NY)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email… more
- Humana (Albany, NY)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- New York State Civil Service (Queens Village, NY)
- …to work on the Family Care Unit as a Home Liaison/ Certification Specialist . Duties include but not limited:*Supervise and monitor the work performance of Home ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- New York State Civil Service (Newark, NY)
- …utilization review, guidance counseling, pastoral counseling, or as a habilitation specialist or instructor of psychology. A practicum, externship, or clinical ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Molina Healthcare (Albany, NY)
- …MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the ... + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management +… more