- Dartmouth Health (Lebanon, NH)
- …access for patients to skilled, acute or long-term care facilities 4. Compliance and Documentation: Delivers Important Message from Medicare /Discharge Rights ... completion of Advanced Directive Care Planning Document case details in compliance with organizational policies. 5. Collaboration: Work closely with social workers,… more
- Sanford Health (Worthington, MN)
- …intake process, product selection, dispensing and setup, documentation, billing, compliance , and performance management. Provide first-line communication with a ... documentation, as it relates to payer requirements, standard operating procedures, and compliance programs. Obtain any needed prior authorizations for services to be… more
- Trinity Health (Fort Lauderdale, FL)
- …and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and Private payer regulations. a. Perform coding ... charges and adjustments d. Maintain productivity standards e. Maintain compliance with regulatory requirements Responsible for denial coordination with Patient… more
- Molina Healthcare (Milwaukee, WI)
- …administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care ... Provider Directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission. +… more
- Atlantic Health System (Morristown, NJ)
- …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in ... Accounts + Pet, Home & Auto, Identity Theft and Legal Insurance Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job… more
- AdventHealth (Manchester, KY)
- …and support as needed. **The value you'll bring to the team:** + Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as ... needed. + Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans. + Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical… more
- CVS Health (Franklin, TN)
- …for quality audits and reviews and instructs associates on how to measure compliance within established guidelines. + Assists in the data collection and analysis to ... **Preferred Qualifications:** + 2+ years prior relevant work experience + Medicare Knowledge + Working knowledge of problem solving and decision-making skills… more
- Avera (Sioux Falls, SD)
- …4,000 nationwide to achieve a double 5-star rating from the Centers for Medicare and Medicaid (CMS). Be apart of something great! **Position Highlights** **Position ... employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please… more
- Fairview Health Services (Minneapolis, MN)
- …and communicate/deliver notices of non-coverage to patients (ex: HINN, ABN, waiver, Medicare lifetime reserve days). + Follow up with payers on active authorized ... or payer step in determination process. + Adhere to all compliance , regulatory requirements, department protocols and procedures. Protect patient privacy and… more
- CaroMont Health (Belmont, NC)
- …service to the population served. This also encompasses registration, pre-registration, compliance , managed care requirements, and functions as a liaison between ... environment and/or customer service experience preferred. Knowledge of insurance, Medicare , Medicaid, collections, and other business office related duties is… more