- Cardinal Health (Albany, NY)
- …payment posting, denial resolution, and responding to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work ... coding, posting and front office teams to resolve account issues + Ensure compliance with HIPAA and all relevant federal/state payor regulations. + Flag trends or… more
- CVS Health (Albany, NY)
- …accreditation from the National Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance , Medicaid Investigations, MCO Medicaid FWA ... with contractual requirements. Coordinates and collaborates with program integrity staff, compliance , and senior leadership. Contributes to the development and… more
- The New Jewish Home (Bronx, NY)
- …application of continuous improvement principles and best practices among Medicare and Medicaid products, in collaboration with senior leadership and service ... and policies for improved quality for all lines of business and works with senior leadership to ensure compliance with regulations. 13. Develops strategies and… more
- City of New York (New York, NY)
- …entities. - Serve as liaison with the Mayor's Office of Risk Management and Compliance (MoRMC). Work with mid- and senior -level management in the Office of ... appropriate audit responses. - Oversee the County Demonstration Unit (CDU), which conducts Medicaid provider audits to assess compliance with Medicaid … more
- New York State Civil Service (Queens Village, NY)
- …Health Care, Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $66951 to $85138 Annually ... or work groups as assigned.* Monitoring clinical record-keeping to ensure compliance with OASAS and regulatory requirements. * Providing clinical consultation to… more
- Elderwood (Williamsville, NY)
- …Office Manager Elderwood Assisted Living at Williamsville Are you an HR professional who loves being hands-on and making things happen? Elderwood Assisted Living ... Resources & Business Office Manager to join our close-knit senior living community. This is a "doer" role -...pay collections and spend downs, and follows up on Medicaid pending cases. This role also collaborates with the… more
- Mount Sinai Health System (New York, NY)
- …Medicare and Medicaid Services (CMS). + Mitigate the risk of compliance violations, audits, and potential penalties related to billing errors. + Streamline ... a key role in ensuring the financial health and compliance of the organization and bridges the gap between...billing and reimbursement. This position will report to the Senior Director. This role will serve as a crucial… more
- WellLife Network (Manorville, NY)
- …improvement efforts. 32. Promotes and ensures ongoing staff training, professional development, and compliance with required certifications.Other ... Coordinates and provides new staff orientation and ongoing training to ensure compliance with agency and OMH requirements.3. Oversee all quality assurance and… more
- Molina Healthcare (Yonkers, NY)
- …related risk adjustment projects for all lines of business (Medicare, Medicaid and Marketplace) **Knowledge/Skills/Abilities** * Collaborates with senior ... staff. * Escalates gaps and barriers in implementation and compliance to VP and other corporate senior ...in health plan risk adjustment. * Minimum 4 years Medicaid / Medicare/Marketplace experience. * Minimum 5 years people management… more
- CenterWell (Albany, NY)
- …diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore ... to inquiries and issues. + May participate in coder education programs on coding compliance . + Follows state and federal regulations as well as internal policies and… more