- Highland Hospital (Rochester, NY)
- **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and perform quality control...or Financial Assistance, reviews and validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination… more
- CVS Health (Albany, NY)
- …member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly ... or willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. + **Community Resources:** Familiarity with community… more
- New York State Civil Service (Queens Village, NY)
- …HELP No Agency Addiction Services and Supports, Office of Title Peer Specialist (OASAS) - HOURLY (Creedmoor ATC) Occupational Category Health Care, Human/Social ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- Catholic Health (Buffalo, NY)
- …work schedule: 8:00 am - 4:30 pm M - F Summary: The Credentialing Specialist is responsible for assisting with the process of electronic credentialing and enrolling ... COI from clients and upload into CAQH + Complete Medicare and Medicaid re-validations when needed + Track when... and Medicaid re-validations when needed + Track when Medicare and Medicaid re-validations are needed + Submit completed… more
- Guidehouse (New York, NY)
- …revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim ... various types of authoritative information. + Maintains current knowledge of Medicare , Medicaid, and other third-party payer billing compliance guidelines and… more
- New York State Civil Service (Albany, NY)
- …People With Developmental Disabilities, Office for Title Public Information Specialist 1 Digital Content Occupational Category Other Professional Careers Salary ... 12229 Duties Description Under the general direction of a Public Information Specialist 2 Digital Content: .Updates content on the OPWDD website..Updates content on… more
- New York State Civil Service (Tupper Lake, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade ... Lawn Contracts, etc.).* Other duties as assigned by Habilitation Specialist 2, Rehabilitation Counselor 2 and/or TTL.#LI-AK1#LI-NB1 LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all… more
- Project Renewal, Inc. (Bronx, NY)
- Title: Entitlement Specialist Program: Ana's Place Salary Range: $35,000/yr Program Description: Ana's Place is a 108 bed 24/7 emergency shelter for homeless men ... nurse. Essential Duties and Responsibilities: The essential duties of the Entitlement Specialist include, but are not limited to, the following activities: + Regular… more
- Northwell Health (Valley Stream, NY)
- …Description Coordinates assessment of patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health requirements, ... assessing residents for Medicare and managed care benefits. Ensures continuous maintenance of...schedules. + Completes and/or assures completion of documentation for Medicare reimbursement. + Reviews documentation of all disciplines and… more
- Molina Healthcare (Buffalo, NY)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more