- The Arc Erie County NY (Williamsville, NY)
- …disabilities and their families. + Regulatory Knowledge - Understands OPWDD, Medicaid , and educational compliance requirements. + Leadership - Guides and motivates ... habilitation, residential, vocational, and community services). *Conduct and/or review eligibility screenings, documentation, and assessments to ensure compliance with… more
- Penn State Health (Hershey, PA)
- …compliments, complaints and grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by the Department of Health (DOH), and ... grievances as defined by the Centers for Medicare and Medicaid Services (CMS) and as regulated by the Department...misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms… more
- Centene Corporation (Jefferson City, MO)
- …and accurate communication of state and federal regulatory updates impacting Medicaid and Marketplace regulatory filings in collaboration with market and product ... laws, rules and regulations preferred. + 2+ years State Medicaid or government sponsored healthcare compliance. preferred. **Licenses/Certifications:** HealthCare… more
- Gentiva (Lubbock, TX)
- …and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility , obtaining authorization and reauthorization as needed, commercial insurance ... including industry standards, regulations, and best practices (ie, Medicare, Medicaid , JCAHO, ACHC), company policies/procedures, and understanding of terminally ill… more
- UnityPoint Health (Des Moines, IA)
- …appropriate services Documentation and Administrative Functions . Maintain certification . Maintain eligibility to bill for government payers (ie, not on the ... Medicaid /Medicare exclusion list.) . Document services accurately and timely...requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any questions… more
- City of New York (New York, NY)
- …Independence Administration (FIA) programs such as Food Stamps, Cash Assistance and Medicaid operate with a high level of accuracy and integrity; monitoring these ... Corporation Counsel. - Conduct case reviews of applications for cash assistance, Medicaid and/or SNAP benefits and cases recertified for ongoing assistance to… more
- CVS Health (Springfield, IL)
- …(PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/ Medicaid ) programs and individual client requested coverage determinations or ... skilled in various UM programs to support other segments (including commercial and Medicaid ) on evening and weekend coverage. -In this role you'll perform a share… more
- Catholic Health Initiatives (Pendleton, OR)
- …a valid Oregon DEA, OR License and Medical Malpractice Insurance + Medicare/ Medicaid requirements: Must accept all Medicare/ Medicaid /Tricare - no sanctions + ... FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility , and more! **Pay Range** $235.58 - $358.43 /hour We are… more
- HCA Healthcare (Pensacola, FL)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... reviewed based on specific insurance payor requirements. + Submit adjustment requests to Medicaid through online automated system. + Work the unbilled alert and comp… more
- LittleStar ABA Therapy (Newburgh, IN)
- …motivated and energetic Music Therapist to provide services to families on the Medicaid Waiver and private pay music therapy services in surrounding areas. About Us ... continued education, and instruments + Public Service Loan Forgiveness (PSLF) program eligibility GREAT BENEFITS + Free health and wellness clinics for eligible… more