- Evolent (Tallahassee, FL)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Humana (Tampa, FL)
- …6 years of Health Services/Case Management Experience + Prior experience with Medicare & Medicaid recipients + Intermediate to advanced computer skills and ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- University of Miami (Miami, FL)
- …facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- University of Miami (Miami, FL)
- …facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- Evolent (Tallahassee, FL)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Humana (Tallahassee, FL)
- …**Preferred Qualifications** + Bachelor's degree in business administration/information systems + Medicare Risk Adjustment background and knowledge. + 1 or more ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Tallahassee, FL)
- …+ Knowledge of healthcare payment methodologies + Proven knowledge in Medicare regulations + Strong organizational, interpersonal, and communication skills + ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Tallahassee, FL)
- …Experience interacting with healthcare providers + Ability to work independently + Medicare Risk Adjustment knowledge + Analyzing data to build unique education ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Aveanna Healthcare (Orlando, FL)
- …of care and performs home visits as needed. + Ensures client compliance with federal/state regulations through policy and procedure administration to staff. + ... in a healthcare setting (home health or hospice) + Medicare Skilled Nursing experience and a basic understanding of...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- University of Miami (Miami, FL)
- …related to pathology, laboratory, and state/ federal regulations. + Completes the Medicare Secondary Payer Questionnaire (MSPQ) at time of scheduling prior to ... services being rendered and in accordance with Centers for Medicare & Medicaid Services (CMS) Federal regulations, as needed. + Reviews and processes information… more