- Marshfield Clinic (Marshfield, WI)
- …Auditor is responsible for performing payment, procedural accuracy, turnaround time, compliance and operational audits as directed by management. The Claims Auditor ... 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
- State of Colorado (Lakewood, CO)
- …seeking and how did you accomplish it? 20 In order for our facilities to remain in compliance with State and Federal Laws, there may be times when we will need ... Emotional Intelligence. Requirement to adhere to the CDHS Code of Conduct, DYS Compliance Review Standards, and CDHS and DYS policies. Success will come through the… more
- Hart Medical Equipment (Grand Blanc, MI)
- …numbers that fall within the providership table. + Maintain current knowledge on Medicare , Medicaid, and all third party payers for equipment coverage and continued ... compliance . + Uphold positive attitude towards tasks and co-workers,...protected status in accordance with the requirements of applicable federal state and local laws. Hart Medical Equipment also… more
- Humana (Oklahoma City, OK)
- …all provider interactions with Humana's Oklahoma Medicaid plan + Ensure compliance with Oklahoma's managed care contractual requirements for provider relations, such ... 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
- Henry Ford Health System (Troy, MI)
- …Program (C-SNP) and Dual-Special Needs Program (D-SNP) group. We provide services to Medicare eligible patients based on the standard criteria for the plan (see more ... level of care or home. + Familiarity, comprehension, and compliance with the Special Needs Plan Model of Care...identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state… more
- Virtua Health (Pennsauken, NJ)
- …satisfaction, Six Sigma committee, department and/or divisional teams and community activities. Compliance * Understands and applies applicable federal and state ... or 3 years experience as Clinical Social Worker.Basic understanding of Medicare , Medicaid and managed care.Discharge planning or home health background.Excellent… more
- Cedars-Sinai (Los Angeles, CA)
- …include monitoring, tracking, and reporting organ acquisition services in compliance with organizational and regulatory guidelines. The analyst verifies insurance ... will be doing:** + Monitor and report organ acquisition charges in compliance with financial policies. + Verify insurance eligibility and obtain necessary… more
- Prime Healthcare (Port Huron, MI)
- …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of ... Approval(R) for Hospital Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime… more
- Nuvance Health (Danbury, CT)
- …and its component operations, including billing, collections, charge capture, coding compliance , managed care contractual terms, Medicare and Medicaid ... requests in all systems, including CERNER MILLENIUM to maintain regulatory compliance and meet operational requirements. 7.Builds exploding codes in CERNER. Ensures… more
- AdventHealth (Wesley Chapel, FL)
- …prevention of patient care-related grievances per established patient grievance protocol in compliance with the Centers for Medicare and Medicaid Services (CMS). ... investigates and processes internal event report system for assigned area in compliance with Florida Statute 395.0197. + Monitors, analyzes, and reports aggregated… more