- 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 ... credentialing, preferably in a comparable organization. * Knowledge of Medicaid, Medicare , Third Party payer requirements, SNF/ICF, ICD-10 and DRG's. * Knowledge… more
- Care Initiatives (Centerville, IA)
- …including Accounts Receivable (AR), Accounts Payable (AP), resident billing, Medicare /Medicaid, and insurance claims. . Maintain accurate financial records and ... department heads with payroll, onboarding paperwork, and HR tasks. . Ensure compliance with HIPAA and handle confidential information with discretion. . Provide… more
- Humana (Bismarck, ND)
- …to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Detroit, MI)
- …assigned area in Wayne or Macomb county, to conduct in home visits with Medicare /Medicaid members.** **Must reside in Michigan with the ability to drive to Wayne or ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Organon & Co. (Plymouth Meeting, PA)
- …in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. The role will also support the development of a ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. Serve as an expert on DRG hospital and provider… more
- Humana (Pompano Beach, FL)
- …6 years of Health Services/Case Management Experience + Prior experience with Medicare & Medicaid recipients + Intermediate to advanced computer skills and ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Detroit, MI)
- …assigned area in Wayne or Macomb county, to conduct in home visits with Medicare /Medicaid members.** The Field Care Manager Nurse 2 employs a variety of strategies, ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- BAYADA Home Health Care (Lebanon, MO)
- … Certified Home Health Care experience. + Comprehensive knowledge of the Medicare Conditions of Participation and regulatory compliance . + Thorough understanding ... military status, or any other similarly protected status in accordance with federal , state and local laws. Hence, we strongly encourage applications from people… more
- BJC HealthCare (Farmington, MO)
- …attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal , state, and accreditation agencies. ... regulatory guidelines, must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards,… more
- CenterWell (Corpus Christi, TX)
- …two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... environment in a value-based relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more