- CenterWell (Albany, NY)
- …services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. + ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Heritage Ministries (Gerry, NY)
- …insurance + Paid training opportunities + Education Assistance plans + Employee pharmacy program + Special employee recognition and giveaways Qualifications: + 2(+) ... term care preferred + Experience with authorization process preferred + Experience with Medicare / Medicaid processes If you have a passion for service, work life… more
- Centene Corporation (New York, NY)
- …healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the ... effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. +… more
- Molina Healthcare (Albany, NY)
- …or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy , etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
- CenterWell (Albany, NY)
- …improve quality and reduce costs for high-risk senior populations in full-risk Medicare arrangements. The Director will lead and oversee the strategic planning, ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Cardinal Health (Albany, NY)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... concurrent assignments and work with a sense of urgency + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, preferred +… more
- Stony Brook University (Stony Brook, NY)
- …+ Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. + Knowledge of other ... + Proficiency in the use of Craneware Active Charge Master Toolkit, Pharmacy Chargelink, Supplies Chargelink and/or Bill Analyzer. + Experience in Revenue Cycle… more
- KPH Healthcare Services, Inc. (Camden, NY)
- …of + Seeks education/training or assistance with areas of + Stays current on Medicare guidelines for billing and dispensing as well as LCDs + Responsible for ... completing all mandatory and regulatory training programs IE. Bridge/DME training in a timely manner or as assigned + Accepts responsibility for professional nursing + Follows and stays current with applicable state and federal laws and company Policy and… more
- Elderwood (Cheektowaga, NY)
- …petty cash and accounts receivable. This individual also processes physician and pharmacy billing, assesses the status of Medicaid applications, answers phones and ... of one year previous Accounts Receivable experience required. + Working knowledge of Medicare A and B, Medicaid and third party insurance required. + High school… more
- CenterWell (Hauppauge, NY)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more