- Glens Falls Hospital (Glens Falls, NY)
- …Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, medical billing, ... as the point person for managing insurance authorizations/referrals. You will closely support this team by obtaining authorizations from providers and payers while… more
- Arnot Health (Elmira, NY)
- Job Description MAIN FUNCTION: The Clinical Accreditation Specialist acts as a consultant on interpretation of regulatory standards, including The Joint Commission ... and Centers for Medicare and Medicaid Services (CMS); ensures a constant state...those documents are fulfilling their responsibilities. ** 11. Provides support and expertise to hospital administration's policy and procedure… more
- Staffing Solutions Organization (Albany, NY)
- …of our clients and the people they serve. **Principal Healthcare Data Specialist 1 - Albany, NY** **Division of Eligibility & Marketplace Integration (DEMI)** ... (MECM) System, ongoing development/maintenance of NYS of Health (NYSOH), and the support of continuous improvement activities. The incumbent will assist with the… more
- Highmark Health (Albany, NY)
- …collaborates with various teams within data analytics and infrastructure to support the creation, optimization, and maintenance of self-service resources for ... value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across Enterprise and Markets and Provider… more
- Robert Half Accountemps (Albany, NY)
- Description We are seeking a Credentialing Specialist for a temporary contract assignment with one of our clients in Albany, NY. This is a short-term, contract role. ... and representatives from commercial insurers and entitlement programs (eg, Medicaid/ Medicare ) to complete credentialing requirements. + Prepare credentialing packets,… more
- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Healthcare Data Specialist (Levels 1 & 2) - Albany, NY** **Division of Eligibility & Marketplace ... Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus and supervisory experience is a plus.… more
- MVP Health Care (White Plains, NY)
- …and continuous improvement. To achieve this, we're looking for a **Bilingual Enrollment Specialist ** to join **\#TeamMVP** . This is the opportunity for you if you ... Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP).… more
- New York State Civil Service (Tupper Lake, NY)
- …Agency People With Developmental Disabilities, Office for Title Trades Specialist (Painter) Occupational Category Skilled Craft, Apprenticeship, Maintenance Salary ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- Highmark Health (Buffalo, NY)
- …and key internal/external stake holders to provide the most appropriate support for providers with gain/risk share contracts. **ESSENTIAL RESPONSIBILITIES** + ... of quality and efficiency reports; When relevant, dissemination and support of gap closures for STARS and improved coding...a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each… more
- Cardinal Health (Albany, NY)
- Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... phone calls for patient follow ups or confirmations + Demonstrate superior customer support talents + Interact with the patient referral sources to process new… more