- The Institute for Family Health (New Paltz, NY)
- …Article 31, and Dental Rules and Regulations around the Medicaid and Medicare RESPONSIBILITIES: + Compile and maintain records, statistics and reports as necessary. ... well as changes to existing product lines/plans and issues related to the EPIC system build. + Ensures Retro Adjudication Work Queues are worked weekly to ensure… more
- Evolent (Albany, NY)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …to represent the Grifols plasma portfolio with identified regional/local health systems , accounts and customers related to disease awareness, product discussions, ... with various levels of expertise. Understand how to work regional/local systems , centers of excellence, patient advocacy, specialty pharmacy customers and… more
- Highmark Health (Albany, NY)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance...reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%) + Is responsible for… more
- New York State Civil Service (Queens Village, NY)
- …Match and assign patients to appropriate daily programs.* Monitor tracking system .* Assure patient records are maintained as outlined.* Coordinate treatment planning ... to appropriate inpatient treatment programming.* Monitor rehabilitation program tracking system .* Monitor the delivery of rehabilitation programming.* Assure rehabilitation… more
- Molina Healthcare (Albany, NY)
- …and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially ... (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules. +… more
- New York State Civil Service (Orangeburg, NY)
- …duties as assigned.NOTE: The ATC uses a computerized patient record system . Minimum Qualifications Either 1. a bachelor's degree in Therapeutic Recreation;Or ... chemical dependency;Or 3. current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For Therapeutic Recreation… more
- Cardinal Health (Albany, NY)
- …group purchasing contracts. + Demonstrates knowledge of financial processes, systems , controls, and work streams. + Demonstrates experience working collaboratively ... skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will… more
- New York State Civil Service (Newark, NY)
- …utilization review, guidance counseling, pastoral counseling, or as a habilitation specialist or instructor of psychology. A practicum, externship, or clinical ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- New York State Civil Service (NY)
- …utilization review, guidance counseling, pastoral counseling, or as a habilitation specialist or instructor of psychology. A practicum, externship, or clinical ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more