- Arnot Health (Elmira, NY)
- …various government and employee requested forms such as medical support notices, Medicare verifications, and DSS requests. 10. Responsible for any necessary entry ... Associates degree required. Bachelors Degree in HR or related field preferred . EXPERIENCE: Minimum three years preferred experience with Benefits/Human… more
- ConvaTec (Massapequa, NY)
- …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid, commercial and private insurance payers. Verifies accuracy and ... of Billing. **Qualifications/Education:** + Must have a high school diploma, college degree preferred , not required. + Six months to one year of related experience… more
- Humana (Albany, NY)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health… more
- Northwell Health (Westbury, NY)
- …- BSN or MSN candidates with a HCS-D - Home Care Coding Specialist -Diagnosis, COS-C Certificate for OASIS Specialist -Clinical. Conducts Home Health Resource ... the Medical Record. Job Responsibility + Audits and reviews Medicare /non- Medicare charts to ensure that proper standards...an accredited School of Nursing. Bachelor's Degree in Nursing, preferred . Must be enrolled in an accredited BSN program… more
- New York State Civil Service (Staten Island, NY)
- …and tasks of specialized trades, including but not limited to Trades Specialist positions with a parenthetic designation, such as Carpenter, Mason and Plasterer, ... Electrician, and Plumber and Steamfitter. PREFERRED REQUIREMENTS:* Obtain NYS Uniform Building Code Certification within...and experience such as that required for a Trades Specialist (Carpenter), Trades Specialist (Electrician), Service &… more
- Trinity Health (Albany, NY)
- …Documentation Expert Outpatient (CDEO) or Certified Clinical Documentation Specialist -Outpatient (CCDS-O) preferred . **ESSENTIAL FUNCTIONS:** + Utilizes ... as a risk adjustment auditor and educator and/or clinical documentation improvement specialist with a solid background in value-based plans (VBP), Medicare … more
- Centers Plan for Healthy Living (Staten Island, NY)
- …irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale Agents, Benefit ... Navigators, and Medicare Support Specialists are conducting activities that are in compliance with CMS/DOH and company guidelines by directly reporting to the… 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 (Yonkers, NY)
- …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- Molina Healthcare (Albany, NY)
- …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for… more