- Houston Methodist (Houston, TX)
- …all internal and external financial and governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human ... Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal ...for employee engagement, adequate staffing levels, budget development and compliance , staffing decisions such as hiring and terminating employment,… more
- Always Best Care Senior Services (Honolulu, HI)
- …care services. We are looking for a Home Health Administrator with expertise in Medicare compliance , billing, and coding to ensure our agency operates smoothly ... we'd love to meet you! Key Responsibilities * Ensure compliance with Medicare guidelines for Home Health...in a fast-paced environment. * Knowledge of state and federal home health regulations is a plus. Why Join… more
- Humana (Nashville, TN)
- …update provider contracting templates for Medicare and Medicaid programs, ensuring compliance with federal , state, and company requirements. + Analysis of ... judgment and decision making on complex issues related to our Medicare and Medicaid provider contract templates. Key responsibilities include creation and… more
- Henry Ford Health System (Troy, MI)
- Primary Objectives To supervise, organize and coordinate the HMO, Medicare Advantage and Federal Government call center operations associated with HAP's Customer ... the efficiency of the call center productivity. + Ensure compliance with the Centers for Medicare &...identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state… more
- The Cigna Group (St. Louis, MO)
- **Product Management Senior Advisor - Medicare Solutions, Express Scripts** **Description of Position:** + The Product Management Senior Advisor provides leadership ... will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) regulations, lead implementation of enhancements, provide… more
- Humana (Greenwood, IN)
- …care team staff to address the member's identified needs + Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as ... and benefits of members who are also eligible for Medicare . + Primary point of contact for the Interdisciplinary...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Maintains accurate and up-to-date knowledge of all Government Programs regulations (Medicaid, Medicare , Federal Employee Program, New York State Department of ... investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case… more
- Trinity Health (Clive, IA)
- …basics of coding diagnoses and procedures as required for insurance authorizations and Medicare compliance . Utilizes online program for Medicare ... physician offices. Ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides excellent… more
- CVS Health (Trenton, NJ)
- …**Position Summary** **Are you passionate about contributing to the well-being of the Medicare population? Would you like to plan an integral and strategic part in ... CVS Health/Aetna is working to transform the way New Jersey Medicare beneficiaries experience health care - improving quality, emphasizing whole-person wellness,… more
- Robert Half Accountemps (Duarte, CA)
- …reimbursements. * Maintain comprehensive and accurate patient billing records in compliance with Medicare , Medi-Cal, and payer-specific requirements. * Follow ... claims and ensure timely reimbursements. * Stay up-to-date on federal , state, and local billing regulations to ensure strict...and appeals. * Strong knowledge of billing regulations and compliance standards set by Centers for Medicare … more