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The Credentialing Coordinator is responsible for maintaining the confidentiality of all Medical Staff related information, organizing and preparing for committee meetings, and ensuring compliance with the Medical Staff Bylaws, accrediting and regulatory agencies (i.e., Joint Commission, Centers for Medicare & Medicaid Services, NCQA) in regard to credentialing while developing and maintaining a working knowledge of the statutes and laws.
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Candidate Qualifications: Must be a graduate of an accredited nursing school Possess a valid Licensed Practical Nurse (LPN) license in the state of New York Proficient in organizing and overseeing nursing unit activities Exceptional problem-solving and decision-making skills Demonstrated leadership capabilities Previous experience in homecare/skilled nursing facility is desirable but not mandatory Benefits: Comprehensive Medical, Dental, and Vision coverage.
$35 an hourPart-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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This candidate must be knowledgeable in Collections Litigation in some sort of medical/healthcare setting such as with Private Practice Doctor's Offices, Hospitals, Group Homes, and Medical Insurance.
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Processes monthly managed Medicaid, NAMI, and Medicare Part A co-insurance billing. § Responsible for collecting all NAMI. § Takes care of cash receipts for private, co-insurance, managed Medicaid and NAMI. § Makes adjustment/voids for Medicaid.
$25 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Maintains a working knowledge of requirements of Center of Medicaid/Medicare Services (“CMS”), National Committee for Quality Assurance (“NCQA”) and 3rd party insurance. Search databases for medical malpractice claims, National Provider Information, and for Medicare/Medicaid and other sanctions.
$60,000Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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As a Laconia employee, you will enjoy working in an environment that promotes professional growth and development that offers competitive wages and PTO plans, benefit options such as medical, dental, and vision coverage as well as life insurance and disability plans.
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We are in search of a scheduler who possesses a wealth of knowledge pertaining to NYS Medicaid Managed, Medicare, and Commercial Plans. Familiarity with Microsoft Office and electronic medical record software (Athena Health) would be highly advantageous.
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Malpractice Insurance Continuing Medical Education (CME) Reimbursement. Medical/Dental/Vision Health Insurance. Completion of three year post graduate medical training from a U.S. accredited residency program in Internal Medicine and or Family Medicine.
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Prefer thorough knowledge of insurance rules and regulations including Medicare, Medicaid, managed care, and commercial insurance. Require four (4) years of experience in registration, billing, insurance processing and scheduling of patients in a medical setting in which two (2) years are in a lead or supervisory level.
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Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, NewYork-Presbyterian Hospital/Brooklyn Methodist Hospital, NewYork-Presbyterian Hospital/Westchester Behavioral Health Center, and NewYork-Presbyterian/Queens.
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Deep background in medical billing, coding, or auditing of insurance claims and medical records. Alaffia is automating medical claim audits to reduce and recover the billions of dollars medical insurance companies improperly pay to medical providers each year.
$60,000 - $70,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Knowledge of Medicaid - Wraparound / 4028, Medicare and other insurance guidelines, including Commercial/ Managed Care/ Advantage /HMO /PPO etc. Working knowledge of Medical Billing Systems/ Electronic Health Records – eClinicalWorks, EPIC and/or Medisoft.
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Our Medicare Sales Representatives sell individual health plan products and educate beneficiaries on our services in a field setting. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
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Familiarity with health insurance plans, including Medicare, Medicaid, and commercial insurance. InstaCare EMS is seeking new and experienced Emergency Medical Call Takers & Dispatchers to work from our Brooklyn headquarters located in Coney Island.
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