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Physician Affiliate Group of New York (PAGNY) is one of the largest multidisciplinary groups in the country whose main purpose is to nurture and embolden the healthcare providers who take care of the most fragile and vulnerable patients in New York City. PAGNY comprises over 4,000 physicians and healthcare professionals who provide services to NYC Health + Hospitals (H+H) , the largest public health system in the United States.
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Services include, but are not limited to: PORT Line, a general helpline that assists with navigating health care and service landscape in jail and community; Office of Health Insurance Services (OHIS), which supports efforts to ensure Medicaid coverage upon release for eligible patients; facilitation of medication provision for patients released to ATI programs; contract management and close coordination with various community partners.
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Familiarity in electronic health records (FCM, eCW), Medicaid billings and other regulatory agency web portal systems – Maven, CARES, CAIRS, MAPP, MAS, and PSYCKES. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management.
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Plans, coordinates, delivers and manages comprehensive healthcare services for individuals requiring primary care case management, including but not limited to those enrolled in the NYS Medicaid Managed Care Program.
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Provide supervision and hands-on work for analysis, reconciliation, and billing for all contracts, foster care, Medicaid, Manage Care, or other areas as needed. Reconcile monthly foster care billing vs.
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Physician Affiliate Group of New York (PAGNY) is one of the largest multi-disciplinary groups in the country whose main purpose is to nurture and embolden the healthcare providers who take care of the most fragile and vulnerable patients in New York City. PAGNY is comprised of over 4,000 physicians and healthcare professionals who provide services to NYC Health + Hospitals (H+H) , the largest public health system in the United States.
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Proficiency in Microsoft Suite (Word, Excel, Outlook, Power Point, Access), Medicaid billing software and nonprofit accounting software; Ensure compliance with all Medicaid policies throughout the department, including compliance with city, state, and federal regulations as well as funder and OMIG guidelines.
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Knowledge of CMS, Medicaid and third-party payer coding, billing and compliance regulations required. Minimum of three (3) years of hospital inpatient coding experience in ICD-9 and ICD-10 diagnosis and procedure coding and DRG assignment, preferably in a tertiary care, teaching environment with complex surgical, transplant, trauma, neurosurgery, Ob/Gyn, and neonatology services.
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Key Competencies include:Foundational Thinking Skills: Review inpatient medical records for identified payer populations (Medicare, Medicaid, Blue Cross/Blue Shield, and others) as directed on admission and throughout hospitalization.
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Develop and maintain liaison activities with H.R.A. Public Assistance and Medicaid Administrators and Workers, to assist eligible residents in securing Public Assistance and Medicaid by acting as a personal advocate through telephone or personal visit/contact.
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In addition to being the nation’s leader in physician employment search and consulting services, Merritt Hawkins also recruits and places select allied health professionals. About the Company*Merritt Hawkins, an AMN Healthcare company, is a permanent physician placement service that fills more physician jobs than any other firm.
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The Medicaid Care Manager Team Lead manages the daily activities of the Medicaid team (Care Managers and Care Management Associates) to ensure quality outcomes in the delivery of member-centered case management including reduction in emergency room visits and hospital admissions, improved member satisfaction, improved member health, and cost effectiveness.
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The Alaffia team has alumni ranging from Amazon, Goldman Sachs, the Centers for Medicare and Medicaid Services, and other leading healthcare and financial institutions. Deep understanding of health insurance, medical billing and coding, and payment integrity.
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The successful candidate will be a Board Certified Child & Adolescent Psychiatrist who will be responsible for appeals reviews within our Medicaid and Medicare programs. We also provide administrative services to Medicaid plans in partnership with blue cross blue shield plans.
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Familiarity in electronic health records (e.g., FCM, eCW), Medicaid billings and other regulatory agency web portal systems (Maven, CARES, CAIRS, MAPP, MAS, PSYCKES) Guided by a ‘population health’ model of care, Essen has five integrated clinical divisions offering services in primary & specialty offices, urgent care centers, and nursing homes, as well as house calls for home bound patients; all clinical services are also offered via telehealth.
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medicaid job Title: primary care physician Company: Ima Medical Group in New York, NY
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