- BAYADA Home Health Care (Riverhead, NY)
- …program in home care to earn accreditation by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). As a non-profit organization, our focus ... NER-NY **As an accredited, regulated, certified, and licensed home health care provider , BAYADA complies with all state/local mandates.** BAYADA is celebrating 50… more
- Charles Evans Center (Bethpage, NY)
- …+ Lead regular meetings with front desk supervisor on billing issues + Monitor provider credentialing with Medicaid, Medicare, and commercial plans + Assist with ... review and negotiation of payer contracts + Maximize coding accuracy and billing under FQHC regulations (Articles 28, 31, 32) + Maintain and update charge master and sliding fee schedule + Generate billing reports and analytics for CFO review + Oversee… more
- Project Renewal, Inc. (New York, NY)
- …setting is a plus. This posting is for a part time Family Practice provider , working three days a week. Essential Duties & Responsibilities: The essential duties of ... State and federal licensing requirements as current according with the department's credentialing policy + Maintains current certification in Basic Life Support +… more
- Molina Healthcare (Buffalo, NY)
- …medical quality of care. + Attends or chairs committees as required such as Credentialing , P&T and others as directed by the Chief Medical Officer. + Evaluates ... etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid,… more
- Mount Sinai Health System (New York, NY)
- …testing and/or vascular ultrasound exams and vascular stress testing (PVR), per credentialing , to aid in diagnosis of the cardiovascular system. Responsibilities may ... and report for Attending Cardiologist's review. For critical results/findings notifies provider per institutional policy + Maintains infection control policy and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and concerns of their regional medical community, as well as support our Provider Relations team as requested. This position is occasionally required to work ... conflict management, decision-making, and problem-solving skills. + Knowledge of credentialing , quality, NCQA/HEDIS/CMS and/or Medicaid Star Ratings, and/or value-based… more
- Catholic Health (Buffalo, NY)
- …rounding Summary: The Physician Assistant is a dependent health care provider who, working collaboratively within a multi-disciplinary health team, is responsible ... Training certificate desired + Board Certification by NCCPA required + Meets credentialing requirements as appropriate through the Medical Staff office EXPERIENCE +… more
- BronxCare Health System (Bronx, NY)
- …Coaching and performance reviews for various clinic locations. - Identifies that provider credentialing information is consistent in each system along the ... billing continuum and reports discrepancies to management. - Identifies and reports operational issues to management and recommends corrective action plan helping to drive revenue. - Identifies the specific reason codes for 277 responses and distributes to the… more
- St. Mary's Healthcare (Amsterdam, NY)
- …* High school diploma/GED * Certified Surgical Technician Required Credential(s): * BLS Provider . + Must be able to speak, read, write and follow instructions in ... technologist credential administered by a nationally accredited surgical technologist credentialing organization; has completed an appropriate training program for… more
- Hope House, Inc. (Albany, NY)
- …the lives of people, we want YOU! Hope House is a substance abuse treatment provider who strives to save lives, recover hope and restore families to those suffering ... actions: new hires, transfers, benefits, and any other employment changes. + Maintain credentialing and per diem list and generate and distribute these and assist… more