- City of New York (New York, NY)
- …in applying for other government sponsored programs such as SNAP benefits; SSI or Medicaid, Medicare , and the Medicare Savings Program (MSP) for the aged 65 or ... Intervention Program, Neighborhood Health Corps., Asylum Seekers and NYC Care). PREFERRED SKILLS: - Excellent communication and presentation skills (oral and… 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 ... (5) years' experience in the practice of Cardiology is preferred + Not under current exclusion or sanction by...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Certified Specialist in Oncology (CSO) or Certified Diabetes Care and Education Specialist (CDCES) is highly preferred + Experience in an outpatient setting ... effective nutrition and diabetes education services to individuals and groups preferred + Strong communication and teamwork skills + Commitment to providing… more
- Rochester Regional Health (Rochester, NY)
- …Provides ongoing support for the tracking and trending of the Reimbursement Specialist charge recovery activities. + Assists with special projects including but not ... community-base, entitlement programs, etc. + Performs other duties as required PREFERRED QUALIFICATIONS + Associate's degree preferred . + Experience working… more
- University of Rochester (Albany, NY)
- …CERTIFICATIONS** + CPMSM - Certified Professional Medical Services Management upon hire preferred + Certified Provider Credentialing Specialist (CPCS) upon hire ... but not limited to, The Joint Commission TJC, Center for Medicaid and Medicare Services (CMS), National Committee for Quality Assurance (NCQA), State Department of… more
- Mohawk Valley Health System (Utica, NY)
- …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... clinical variability throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… 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
- Molina Healthcare (Rochester, NY)
- …(LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical ... program proficiency, and ability to navigate online portals and databases. ** Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in… 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 ... journey flows + Comfortable working in pod-based or agile cross-functional environments ** Preferred Qualifications** + Adobe certifications in AEP or AJO are a plus… more
- Somatus (Bronx, NY)
- …on a monthly basis Qualifications _Required_ + Experience working with Medicare , Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical ... Nurse, Engagement Specialist or Community Health Worker Experience. + Ability to connect with people and understand the challenges they face. + Ability to use a… more