- Prime Therapeutics (Columbus, OH)
- …Medicaid Services ( CMS ) compliance compliant + Utilize Prime's MTM process management system to record member specific information + Assess beneficiary ... and meet deadlines + Proficient in Excel, Word, and system operations (eg workflow processes and case management... system operations (eg workflow processes and case management ) + Government programs ( Medicare ) knowledge **Preferred… more
- Molina Healthcare (Cincinnati, OH)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services ( CMS ) and State regulatory requirements are met ... Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience + Proven… more
- Elevance Health (Mason, OH)
- …equivalent background. + Requires experience using RADV protocols and following Center for Medicare and Medicaid Services ( CMS ) and Affordable Care Act (ACA) ... has experience working in leading healthcare payer claims/ revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims/ encounter… more
- Intermountain Health (Columbus, OH)
- …alignment with ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services ( CMS ), National Center for Health Statistics ... Services (DHHS), American Hospital Association (AHA) and American Health Information Management Association (AHIMA). This position provides advanced training to CDI… more
- Molina Healthcare (OH)
- …for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and Marketplace lines of business. This includes direct management ... to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. + Collaborate with legal, claims, provider… more
- Fresenius Medical Center (Delaware, OH)
- …**LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification ... machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . **RECORD KEEPING:** + Complete and document ongoing… more
- ABM Industries (Middleburg Heights, OH)
- …restraints, while meeting standards outlined by The Joint Commission (TJC), Centers for Medicare & Medicaid Services ( CMS ), ABM Healthcare Support Services and ... visit ABM Employee Benefits | Front Line Team Members (https://wpe-media.abm.com/wp- content /uploads/2025/ABM\_2025\_Employee\_Benefits\_Frontline\_v2\_English\_9.5.24.pdf) | (Programa de Beneficios de ABM) **Basic Qualifications:**… more
- Fresenius Medical Center (Kings Mills, OH)
- …material assist devices for the heavier items. **EDUCATION** + Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification or High ... testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all...+ Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING… more
- Fresenius Medical Center (Cincinnati, OH)
- …**LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification ... machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . **RECORD KEEPING:** + Complete and document ongoing… more
- Humana (Columbus, OH)
- …degree + 3 or more years of healthcare experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) ... and internal controls, and communicating issues and recommendations to management . Coordinates implementation and compliance with corrective action plans.… more