- Idaho Division of Human Resources (Post Falls, ID)
- …will analyze, research, forecast, and reconcile complex financial documents and ensure compliance with laws, rules, and policies; attention to detail is a must; ... to resolve discrepancies. + Experience billing medical entities such as Medicare , Medicaid, hospice, private and third-party insurances, and pharmacies. Benefits: WE… more
- National Health Care Associates (Glens Falls, NY)
- …that may affect reimbursement + Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and coding ... or Nurse Assessment Coordinator experience preferred + Knowledge of state and federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0,… more
- CVS Health (Springfield, IL)
- …models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... tools and information/data. + Utilizes case management processes in compliance with regulatory and company policies and procedures. +...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- CenterWell (Brownsville, TX)
- …+ Knowledge of HEDIS measures and quality indicators + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated ... Interagency Language Rating (ILR) test as provided by the Federal Government. \#nursepractitionercareers \#physicianassistantcareers \#LI-KB2 **Scheduled Weekly Hours** 1… more
- Trinity Health (Rockford, MI)
- …payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information ... ROI & impacts. Maintains a Working Knowledge of applicable federal , state & local laws / regulations, Trinity Health...& local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as… more
- UTMB Health (Pearland, TX)
- …Obtains and documents information required for third party reimbursement. . Ensures compliance with Medicare and third-party coverage. . Communicates with ... any other basis protected by institutional policy or by federal , state or local laws unless such distinction is...unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire… more
- Highmark Health (Pittsburgh, PA)
- …required by policy/procedure. (25%) + For Outpatient Techs: Validates Medicaid, Medicare , or commercial insurance drug coverage and ensures adjudication is complete ... and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and...includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well… more
- UTMB Health (Galveston, TX)
- …AAPC required within one year of hire. A successful completion of General Compliance Coder testing within 6 months of hire is also required. **Preferred ... Qualifications** PB/HB, Revenue Cycle, Coding, Charge Capture, Medicare , CMS Preferred. **Equal Employment Opportunity** UTMB Health strives to provide equal… 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 ... Qualifications:** + 2+ years prior relevant work experience + Medicare Knowledge + Working knowledge of problem solving and...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- UTMB Health (League City, TX)
- …* Obtains and documents required for third party reimbursement. * Ensures compliance with Medicare and third-party coverage. * Communicates with patients, ... any other basis protected by institutional policy or by federal , state or local laws unless such distinction is...unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire… more