- Emory Healthcare/Emory University (Atlanta, GA)
- …and Grady Health System. Fellows must be eligible at participants in Medicare , Medicaid and other third-party payers contracted with Emory Healthcare and Grady ... protected veteran status or other characteristics protected by state or federal law. Emory University does not discriminate in admissions, educational programs,… more
- Catholic Health Services (Melville, NY)
- …operational efficiencies. + Maintain knowledge of The Joint Commission and state/ federal regulations, laws and guidelines that impact Financial Clearance functions ... manner. + Complying with Medical Necessity protocols and proper use of Compliance Checker and National Coverage Decisions. + Ensure completion of financial clearance… more
- AssistRx (Phoenix, AZ)
- …are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to ... instances + Achieving maximum reimbursement for services provided + Completing Medicare and Commercial insurance claim submission. + Documenting and reporting… more
- Cabinet Peaks Medical Center (Libby, MT)
- …expected to be met or exceeded Keeps up to date on changes imposed by Medicare , Medicaid, Commercial Insurance as well as Federal and State laws impacting health ... Patient Access processes generally and individual workers specifically to assure compliance with department policies & procedures Monitors staff production Monitors… more
- Marshfield Clinic (Marshfield, WI)
- …501(c)(3) organization. This may qualify you for additional state_ and/or federal education loan forgiveness programs. MCHS strongly encourages our physicians to ... the needs of patients and customers first.** **Exclusion From Federal Programs: Employee may not at any time have...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- Serenity Hospice Care (Trenton, NJ)
- …in the electronic medical record (EMR) in a timely manner. + Maintain compliance with federal , state, and organizational policies and procedures. Requirements: + ... assessments to determine hospice eligibility based on clinical criteria and Medicare guidelines. + Clearly and compassionately explain hospice philosophy, services,… more
- CenterWell (Orlando, FL)
- …Qualifications** + Basic knowledge of Population Health Strategy + Bachelor's Degree + Medicare knowledge + Managed care experience + Bilingual in both English and ... Interagency Language Rating (ILR) test as provided by the Federal Government. \#LI-onsite **Scheduled Weekly Hours** 40 **Pay Range**...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Molina Healthcare (MI)
- …team members are positioned to improve quality, control medical costs, and ensure compliance with state and federal regulations and guidelines. Leads and manages ... in the state of MI. This position will support our MMP (Medicaid Medicare Population). The Clinical Learning Facilitator will be responsible for creating training… more
- Sanford Health (Hillsboro, ND)
- …assure compliance with departmental standards. Keeps updated on all state/ federal billing requirements and changes for insurance types within area of ... Insurance Representative processes and monitors unpaid third party insurance, Medicare , Medicaid or government-assisted program accounts for proper reimbursement;… more
- Prime Healthcare (Dallas, TX)
- …of hospital business operations and considerations.5. Experience with healthcare regulatory compliance matters. Preferred qualifications: 1. Minimum of 5 years of ... sensitive information.4. Experience/expertise in providing legal counsel for matters involving federal laws and regulations governing the provision of and payment… more