- SUNY Upstate Medical University (Syracuse, NY)
- …professionals and medical facilities + Communicate with collaborating physician or specialist regarding patient care Provides exemplary patient care Timely and ... of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible… more
- Northwell Health (Lake Success, NY)
- …online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference ... as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make...One or more of the following required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified… more
- The Institute for Family Health (New Paltz, NY)
- … + Ability to run and interpret/analyze Crystal and EPIC Workbench reports preferred + Prior experience as an IFH Revenue Cycle Specialist III preferred ... Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile and maintain records, statistics and reports as necessary.… more
- Molina Healthcare (Albany, NY)
- …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… 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
- MVP Health Care (Schenectady, NY)
- …+ Commitment to being the difference for our customers in every interaction. ** Preferred ** + Senior leadership experience in payment integrity or cost containment. + ... Multi-line expertise (Medicaid, Medicare , Commercial). + Certifications such as: CPC (Certified Professional Coder), CCS (Certified Coding Specialist ), CFE… 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
- WMCHealth (Valhalla, NY)
- …+ Researches technical guidance in UB-92 Editor, CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance. + ... and communicates appropriate treatment of charges to clinical managers, CDM Specialist (coordinator), other customers. + Participates in required regulatory change… more
- Molina Healthcare (Albany, NY)
- …Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred . **Required Experience** + 3-5 years clinical nursing experience, with 1-3 ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more