- New York State Civil Service (Queens Village, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result ... York State Office of Addiction Services and Supports (OASAS) is to provide, support , and oversee a data-driven continuum of addiction services delivered with equity,… more
- Centene Corporation (Queens, NY)
- …Department of Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will also ... create, analyze, report and maintain metrics and processes in support of department and all relevant NYS programs and...and Local Department of Social Services and Center for Medicare & Medicaid Services (CMS regulations). Working in a… more
- CVS Health (Albany, NY)
- …day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in ... ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of...and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence… more
- Humana (Albany, NY)
- …standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental ... experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of… more
- Nestle (Holbrook, NY)
- …to learn from talented colleagues around the globe, and benefits that support physical, financial, and emotional wellbeing. Join us to innovate for impact ... brokers and work closely with the internal strategy, finance, and functional support teams to identify and develop business opportunities that will advance our… more
- Humana (Albany, NY)
- …maintaining optimum health. We provide telephonic outreach to assess and support their health, offering education, identifying resources, and helping remove barriers ... to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group Account members and create actionable and… more
- Aveanna Healthcare (Buffalo, NY)
- …evaluate clinical staff + Participate in hiring and performance management + Support a positive and growth-oriented team environment Compliance & Quality + Ensure ... and implement improvements + Promote safety and ethical care practices Operational Support + Participate in on-call rotation + Collaborate with care teams and… more
- Option Care Health (New Rochelle, NY)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...services that are available through Option Care and provides support to sales professionals on an ongoing basis. **Supervisory… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Provides clerical support for clinical and ancillary staff in delivering quality patient care. Creates In-Patient admissions as required. ... registered; Completes the central log assuring all fields are complete 5. Completes Medicare Payor Questionnaire for all Medicare patients 6. Collects visit fees… more
- The Wesley Community (Saratoga Springs, NY)
- …members to resolve billing-related concerns. + Ensure compliance with Medicare /Medicaid billing requirements, regulatory standards, and facility specific protocols. ... knowledge of billing procedures for all payer types including Medicare , NY Medicaid, HMO and Private insurance. + Experience...and supportive teamwork environment + Perks such as self-care support and on-site prescription fills + A fun work… more