- Molina Healthcare (Rochester, NY)
- …Outreach prospects who may qualify for enrollment + Conducts pre-screening for prospect Medicaid eligibility to assist prospect/member with Medicaid ... time-frame to assure Medicaid coverage for participant. + Tracks the Medicaid eligibility status via state agency's system and Medicaid hotline for all… more
- Helio Health Inc. (Rochester, NY)
- …services for individuals who are Medicaid Eligible and/or have active Medicaid . + Conduct eligibility screenings and Health Home enrollment. + ... coordination of services to Health Home enrollees and eligible Medicaid / Medicaid Managed Care community members. The Health... Managed Care community members. The Health Home Care Coordinator will work in aFull-Timebasis as part of Helio… more
- University of Rochester (Rochester, NY)
- …access for patients. Remains knowledgeable of private payer, Medicare, and Medicaid structure systems and reimbursement processes. Respond to all patient, nursing, ... and provider account inquiries. **ESSENTIAL FUNCTIONS** + Determines practitioner eligibility for enrollment. + Completes and processes all paper and/or electronic… more
- EPI (Rochester, NY)
- …Residential programs, established by providers and to ensure quality and Medicaid Compliance standards are met, through verification of all completed Office ... Plan (IPOP), Plan of Nursing (PONs), Level of Care Eligibility Determination (LCEDs), etc., and assures all record keeping...requirements are completed timely to meet billing, quality, and Medicaid Compliance standards. + Acts as a member of… more
- EPI (Rochester, NY)
- …Purpose: The primary function of this role is to ensure quality and Medicaid Compliance standards are met, through verification of all completed Office for People ... Action Plans/ Service Plans, Life Plans/Plans of Care, Level of Care Eligibility Determination (LCED), etc., and assures all record keeping and documentation… more
- Prime Care Coordination (Webster, NY)
- …Rep-Payee reports and SSI recertifications. + Resolves all SSA, SSI and SNAP eligibility problems. + Responsible for calculating countable income and Medicaid ... and completes all phone interviews. + Completes OPWDD training on Medicaid , Medicare, Social Security Income, Social Security Disability and Personal Allowance.… more
- EPI (Rochester, NY)
- …Purpose: The primary function of this role is to ensure quality and Medicaid Compliance standards are met, through verification of all completed Office for People ... Action Plans/ Service Plans, Life Plans/Plans of Care, Level of Care Eligibility Determination (LCED), etc., and assures all record keeping and documentation… more
- New York State Civil Service (Rochester, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... a multidisciplinary treatment team. The incumbent will function as an admissions coordinator and may be responsible for managing a small counseling caseload.… more