- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- Bristol Myers Squibb (New York, NY)
- …related experience (field liaison responsible for market access , worked for managed care organization, corporate or field HEOR, etc.) strongly preferred + ... Makers and Influencers, etc.) within payer organizations and to managed care professionals to ensure access to... accounts, covering all books of business (eg, Commercial, Managed Medicaid , Fee-for-Service, Medicare, PBMs, and Exchange… more
- Allaire Rehab & Nursing (Edison, NJ)
- …+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid ). + Provide assistance with ... Allaire Health Services is looking for a Marketing Liaison to join our incredible New Jersey team!...admissions process. + Maintain a strong working knowledge of managed care referral processes. + New Jersey… more
- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) - Restricted Recipient Program (RRP) Unit imposes ... within MAP to ensure appropriate delivery of services to clients enrolled in managed care . - Type correspondences, reports and other written materials. -… more
- Atlantic Health System (Morristown, NJ)
- …+ Acts as liaison with all payors and works closely with the Managed Care team. + Communicates with necessary ISS analyst to troubleshoot system issues. ... Requirements: + 3-5 years of hospital billing experience with Medicaid or Managed Medicaid preferred...one of our facilities, will receive the highest quality care delivered at the right time, at the right… more
- Catholic Health Services (Melville, NY)
- …(ie, Access\MS-SQL); EPIC, and other reporting and database tools. Sound knowledge of Medicaid , Medicare and managed care requirements Must be Self-directed ... and quarterly reports reflecting accurate departmental data Works with Revenue Cycle and Managed Care teams to identify and resolve issues related to timely… more
- City of New York (New York, NY)
- …individuals in a variety of settings to promote independence and well-being. The Home Care Services Program (HCSP) is a Medicaid funded program that facilitates ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- Hackensack Meridian Health (Hackensack, NJ)
- …for a university medical center/hospital or a Health Insurance Payer. + Knowledge of Managed Care Contracts, Medicare, and Medicaid . + Excellent Epic Skills, ... are not limited to, Patient Accounting, Case Management, Health Information, Clinical, Training, Managed Care , and IT. **Responsibilities** A day in the life of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and Abilities Preferred: + Bachelor's degree. + Experience in healthcare. + Knowledge of Managed Care contracts, Medicare, and Medicaid . + Proficient in SMS, ... to Patient Accounting, Case Management, Health Information, Clinical, Training, Managed Care and IT. Duties performed are...in revenue flow and discusses solutions. Acts as a liaison between agencies and Reconciliation department to prevent AR… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …Abilities Preferred** : + Bachelor's degree. + Experience in healthcare. + Knowledge of Managed Care contracts, Medicare, and Medicaid . + Proficient in SMS, ... not limited to Patient Accounting, Case Management, Health Information, Clinical, Training, Managed Care , Outsource Partners, Practice Management and DTS .… more
- RWJBarnabas Health (Somerset, NJ)
- …Ability to professionally inter-relate with people (ie, parents, staff, patients, Managed Care Organizations, outside agencies, etc.) familiarity with computer ... for per diem negotiation for individual patients with their respective insurance company| managed care organization + Notifies parents of availability of… more
- Centers Plan for Healthy Living (Farmingdale, NY)
- …Skills: About us: Centers Plan for Healthy Living (CPHL), is a Managed Care Organization servicing members with Medicare and/or Medicaid . Our goal is to ... Representative position is responsible for reaching out to CPHL Managed Long Term Care Plan (MLTCP) referrals...for in-home assessments. The Intake Representative acts as in-house liaison for RNs working in the field, insures that… more
- Hackensack Meridian Health (Hackensack, NJ)
- …patient accounting/revenue cycle operations or relevant experience/training. + Demonstrated knowledge of Managed Care Contracts, Medicare, and Medicaid . + ... accuracy and proper revenue recognition. + Acts as a liaison with other departments to adjust or reconcile financial...verifies validity of daily credit card chargeback. + Reconciles Managed Care , Medicare and other Governmental payments… more
- New York State Civil Service (Brooklyn, NY)
- …and various clinical staff as necessary.*Advocate for individuals' health care needs *Maintains ongoing communication with med liaison /designee.*Provides ... for Title Registered Nurse 2 Community (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 20 Bargaining Unit PS&T - Professional,… more
- New York State Civil Service (Queens, NY)
- …specialists, various clinical staff as necessary.* Advocate for individuals' health care needs* Maintains ongoing communication with med liaison /designee* ... Office for Title Registered Nurse 1 (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
- New York State Civil Service (Bronx, NY)
- …specialists, various clinical staff as necessary.* Advocate for individuals' health care needs.* Maintains ongoing communication with med liaison /designee.* ... Office for Title Registered Nurse 1 (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
- Graham Windham (Brooklyn, NY)
- …vs. ECMS, ACS Reports, and other pertinent data information Create and reconcile Managed Care /Health Homes billing vs. ECMS MCO Reporting, and other pertinent ... for analysis, reconciliation and billing for all contracts, foster care , Medicaid , Manage Care , or...audit schedules, as determined by the agency Serve as liaison between ACS Reconciliation unit, Graham program staff, Computer… more
- Graham Windham (Brooklyn, NY)
- …vs. ECMS, ACS Reports, and other pertinent data information + Create and reconcile Managed Care /Health Homes billing vs. ECMS MCO Reporting, and other pertinent ... for analysis, reconciliation and billing for all contracts, foster care , Medicaid , Manage Care , or...schedules, as determined by the agency + Serve as liaison between ACS Reconciliation unit, Graham program staff, Computer… more
- Acacia Network (New York, NY)
- …services covered. Coordinate with the Benefits department to ensure client financial status via Medicaid and other managed care funding source. May need to ... accordance with program regulations.Salary:$41,787.82 KEY ESSENTIAL FUNCTIONS: + Primary liaison with internal and external referral sources for residential… more