- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The DSS Accountability Office ... fraudulent acts against the social service programs administered by HRA/DSS. The Medicaid Investigations Division (MID) is mandated to provide expanded levels of… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to...fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. +… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations… more
- City of New York (New York, NY)
- …that will go before trials and hearings. The responsibilities of the Associate Investigator will include but not limited to: - Investigate complaints received by the ... officials. - Develop effective working relationships with NYC agencies, NYS Office of Medicaid Inspector General, NYS Department of Health, NYS Office for the Aging,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk- Patient Financial Services (Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... including but not limited to financial verification, preparation of Medicaid applications, billing, processing accounts, payment and/or charge posting, account… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Manager Patient Accounting-Patient Financial Services (Medicare/ Medicaid ) Corporate-Full-Time Days** The Manager is responsible for overseeing ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Revenue Cycle Assistant-Medicare & Medicaid -Corporate 150 East 42nd Street- Full-Time Days The Revenue Cycle Assistant is responsible for various ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- …interest in health economics, health services research, and health policy, especially Medicaid policy. The fellow will join the Postpartum Outcomes and Extension of ... Medicaid (POEM for Equity) team on a NIH funded...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …and the US Dept of Health and Human Services Center for Medicare and Medicaid Services (CMS). + Interacts with emergency management as well as clinical and ... The Joint Commission and the Centers for Medicare and Medicaid Services (CMS) including but not limited to conducting...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …for existing and new services. Assures that updated fee schedules for Medicare, Medicaid , commercial and managed care carriers are correctly entered in the billing ... resolving billing disputes. + Keeps abreast of changes in Medicare and Medicaid regulations that impacts Practice and Billing Office operations. + Provides on-going… more
- Mount Sinai Health System (New York, NY)
- …and payer credentialing efforts for contracted FPA providers with Medicare and Medicaid . This individual manages all open provider enrollment tasks/ issues to ensure ... + Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing experience required, including one… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- …as necessary. + Functions as liaison to insurance companies and the Medicaid Eligibility Office, including screening requests for medical necessity, obtaining prior ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- …crisis as federal and state governments are unable to keep Medicare & Medicaid solvent, employers are stretched to pay for health benefits for their employees, ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- …financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related billing ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- …such as IDX, Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- …generates patients chart and attaches pertinent information such as Emerg Card, Medicaid threshold and EMS sheet, etc. 10. According to policy and established ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- …also received a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric emergency department in New York City, ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- Mount Sinai Health System (New York, NY)
- …Research and analyze impacts of various State and Federal Medicare and Medicaid policies, regulations, legislation and other proposals, including managed care payer ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more