- Northwell Health (New York, NY)
- **Req Number** 142844 Job Description Assists patient/family in completing Medicaid application. Assesses patient's eligibility for Medicaid . Verifies patient's ... + * Contacts patient/family and conducts interviews for the purpose of assessing Medicaid eligibility. + * Meets with and assists patient/family in completing … more
- 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
- 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
- Humana (Trenton, NJ)
- …fraud. This role ensures that all audits comply with federal and state Medicaid fraud, waste, and abuse guidelines. The manager collaborates with law enforcement ... on continuously improving consumer experiences + Proven FWA Managed Care ( Medicaid ) Investigative experience P **referred Qualifications** + Minimum of two years… more
- Mount Sinai Health System (New York, NY)
- …including but not limited to financial verification, preparation of Medicaid applications, billing, processing accounts, payment and/or charge posting, account ... on specific specialized accounts receivable (bilingual preferred). + Interviews potential Medicaid patients before admission, during admission and after discharge of… more
- Mount Sinai Health System (New York, NY)
- …entitlement services. + REAP assists with a range of government programs including Medicaid , Medicare, Child Health Plus, Essential Plan, SNAP & others. + In ... the social worker will attend trainings with NYC HRA Medicaid as part of REAP's role as a community...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)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... to drive performance for value-based contracts for Medicare Advantage, Managed Medicaid and Commercial arrangements. * Support the development of strategies and… more
- Mount Sinai Health System (New York, NY)
- …for evaluating and driving performance for value-based contracts including Medicare, Medicaid and commercial arrangements. The Senior Director is a key member ... value-based contracts inclusive of risk and opportunity identification for Medicare, Medicaid and Commercial arrangements. 2. Develop strategies and alternatives for… more
- Mount Sinai Health System (New York, NY)
- …drug programs to assist with out of pocket expenses, referral for Medicaid /charity care assistance when applicable, billing to co-pay programs and foundations, and ... option for the patient is a referral to the Medicaid Application team for possible charity care enrollment. +...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)
- …as necessary. 3. 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)
- …* Reviews and disseminates information pertaining to Centers for Medicare & Medicaid Services (CMS), The Joint Commission (TJC), New York State Department of ... 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)
- …are insured by a combination of, eg, commercial insurers, Medicare Advantage Plans, Medicaid Managed Care Plans, employers, and unions. **This is a hybrid position ... 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)
- …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)
- …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)
- …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)
- …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)
- …internal and community resources, electronic medical record and Centers for Medicare and Medicaid data to educate patients and form a care plan with specific health ... 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
- City of New York (New York, NY)
- …to Administrative Staff Analyst, Health Services Manager, Administrative Investigator , Administrative Procurement Analyst, and Administrative Contract Specialist. ... all new and existing employees are cleared utilizing the local and federal Medicaid compliance (OMIG and HHS) databases. Reviewing tasks and standards and conducting… more