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Overseeing the coordination of HEDIS data ingestion activities and driving strategy to optimize HEDIS data ingestion, EHR/HIE interoperability, supplemental data, and record review for the Medicaid line of business.
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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The director will bring expertise knowledge about NYS Office of Mental Health (OMH) licensed mental health treatment programs regulations and standards of care, Medicaid, NYS Office of the Medicaid Inspector General (OMIG) compliance plans, and the NYS Justice Center for the Protection of People with Special Needs policies and procedures.
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As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 's network includes over 27,000 primary care providers, specialists and participating clinics.
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If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid.
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Quality Management manages the testing methodology for the technology portfolio for all of the DSS/HRA/DHS/ External Projects/Data Integration Technology areas including Unisys Mainframe Systems, Open TI Services, Medicaid Recertification Tracking Systems, Welfare Management Systems, Mailing Systems, IBM Mainframe Systems, Payment Processing Systems, WLM Analysis, Data Warehousing Systems and ABAWD and Reasonable Accommodation Compliance Systems.
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Integral in campaign set up and execution including order letters, specs, creative rotation and billing documentation. Assist in actualizations with partners and final billing numbers; responsible for billing discrepancies and produce resolutions.
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Complies with OPWDD and agency policies and procedures regarding compliance and Medicaid billing for all programs as assigned. Complies with OPWDD and agency policies and procedures regarding compliance and Medicaid billing for all programs as assigned.
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Over the last year we acquired a new company, launched a new data warehouse on top of Snowflake, launched new billing and subscription systems, and changed how we process data. Work with large data sets using tools like Python, DBT, and Looker.
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Reimbursement and billing experience in Medicare Part B, Medicaid and commercial payers. The Customer Service - Billing Supervisor is responsible for leading and directing AMS payment posting and Arnot Health patient relationactivities pertaining to Arnot Health Patient Billing activities.
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Ideally, experience with durable medical equipment (DME) billing. Ideally, experience with durable medical equipment (DME) billing. 5+ years of experience in revenue cycle management and 2+ years running a revenue cycle team.
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Document Services for Medicaid Billing. Document Services for Medicaid Billing. Experience with special needs children and youth preferred. The position requires work at the camp facility, home and school visits in Manhattan, the Bronx, Brooklyn, Queens, and Westchester County, and travel to conduct recruitment for participants and staff.
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The Finance group includes sub-functions including, Client Finance, Financial Planning & Analysis, Business Finance Support and Billing Operations. Manage and support the Client Finance team with revenue accounting, client billing, pricing, profitability analysis and modeling.
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Meeting the Qualified Intellectual Disabilities Professional (QIDP) requirements as defined in Federal Medicaid Regulations is essential. To excel as a Full Time Qualified Intellectual Disabilities Professional (QIDP) at The Arc of Chemung-Schuyler, candidates must possess a bachelor's degree in human services or equivalent, along with at least one year of experience working with individuals with developmental disabilities.
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Experience with processing healthcare/nursing home admission agreements with a fundamental understanding of the Medicaid application process. · Stay informed & up-to-date with current Medicaid legislation in order to accurately educate potential and current clients on the lates rules/processes.
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billing medicaid jobs in Pine City, NY
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