- Excellus BlueCross BlueShield (Rochester, NY)
- …a variety of documents including, but not limited to provider contracts, group benefit structures, Corporate Medical Policies, the AMA CPT Coding Guidelines, HCPCS ... the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association… more
- Fresenius Medical Center (Woods Cross, UT)
- …+ Educates on the availability of alternative insurance options (ie, Medicare, Medicaid , Medicare Supplement, State Renal programs and COBRA). + Ensures patients ... when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining...coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in… more
- J&J Family of Companies (Titusville, NJ)
- …limited to, Managed Care Organizations (MCOs), large physician groups, Group Purchasing Organizations (GPOs), Pharmacy Benefit Management (PBM) companies, ... Governmental Agencies (CMS and VA/DoD System), Medicare, Medicaid , Long Term Care (LTC) facilities, Integrated Delivery Networks (IDNs), and Accountable Care… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …impact of legislation, regulations, policy changes, and legal settlements related to Medicaid and other DSS health programs. + Provide fiscal feedback and technical ... this class is accountable for acting as a working supervisor over a team of technical personnel engaged in...work of determining per diem rates of reimbursement for Medicaid supported patients or carries out such responsibilities directly;… more
- Hartford HealthCare (Farmington, CT)
- …the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our ... *_Position Summary:_* Responsible for assisting the Accounts Receivable (AR) Follow Up/Denials Supervisor , in the day-to-day operations of the AR Follow Up & Denials… more
- UnityPoint Health (Cedar Rapids, IA)
- …and department compliance for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any questions or concerns ... This includes behavior management training, BCLS, safety, and others as required by supervisor or the department. + The associate is aware of hospital and department… more
- MyFlorida (Lake City, FL)
- …changes as advised. Will participate in community outreaches as assigned by the supervisor , the Department, and the Healthy Start Program to maintain a high ... provided to other agencies in collaboration with Healthy Start. Help Clients obtain Medicaid services and services to OB care. Will attend trainings and meetings as… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …to insurance companies in a timely manner. + Perform follow-up with Medicare, Medicaid , Medicaid , Managed Care, and Commercial insurance companies on unpaid ... carrier issues relating to billing and reimbursements. Report findings to billing lead/ supervisor or designee. + Pursue and participate in education to remain… more
- HCA Healthcare (Hermitage, TN)
- …Eligibility for benefits may vary by location._** Our teams are a committed, caring group of colleagues. Do you want to work as a Patient Financial Counselor where ... patient + Demonstrates excellent customer service + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to… more
- Mirror (Topeka, KS)
- …(procedures) when treating Mirror clientele. The Nurse shall also ensure conformance to Medicaid and ADAS standards and assist the agency in meeting its contractual ... agreements with SRS, Medicaid , BOP and KDOC. Duties include medical policy development,...necessary resident medical and mental health appointments. 4. Provide group presentations on a health related topic such as… more