- 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
- SSM Health (Madison, WI)
- …written orders and prior authorization for appropriate equipment/supplies. + Ensures compliance with Medicare , Medicaid and Accreditation Standards. + Works ... in a constant state of alertness and safe manner. + Performs other duties as assigned. EDUCATION + High School diploma/GED or 10 years of work experience EXPERIENCE + Two years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling… more
- Northwell Health (Lake Success, NY)
- …of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. Generates queries and have follow up ... National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts… more
- Virtua Health (Marlton, NJ)
- …core of our nursing culture. Virtua Home Care is a large, Medicare -certified home health agency that provides multidisciplinary skilled services in Burlington, ... incorporating psychosocial and physiological status as well as health behaviors, compliance with therapeutic regime and technical procedures.* Coordinates plan of… more
- Bon Secours Mercy Health (Youngstown, OH)
- …other method available for receiving pre-service orders. Performs medical necessity / compliance checks to ensure services meet medical necessity based on ... Medicare Local Coverage Determination (LCD) and communicates ABN requirements to physician offices if scheduled service(s) is not medically necessary. + Performs… more
- Granville Medical Center (Oxford, NC)
- …Assessments; Discharge planning; Treatment plan development and review. 9. Monitors compliance with standards of care for patients with behavioral health needs ... patients/families with information regarding available financial assistance options, ie, Medicare , Medicaid, etc. Facilitate referrals for financial assistance by… more
- Sysco (Houston, TX)
- …that traditionally require expertise around nutritional requirements, regulatory compliance , menu development, disaster planning, and Group Purchasing Organizations. ... in Healthcare knowledge, trends, industry regulations, and reimbursement programs ( Medicare & Medicaid) required + Analytical problem-solving skills, including… more
- Molina Healthcare (GA)
- …support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. ... Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other… 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
- Queen's Health System (Honolulu, HI)
- …with policies and procedures of The Queen's Health Systems (QHS) and in compliance with federal, state, insurance carriers, health plans and other third party payor ... for one (1) year experience in professional billing. * Knowledge of Medicaid, Medicare , Third Party payer requirements, SNF/ICF, ICD-10 and DRG's. * Knowledge of… more