- 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
- CVS Health (Scottsdale, AZ)
- …Director, Software Development Engineering** provides leadership and direction to the Medicaid Member & Enrollment Domain; oversees and directs the various teams ... that support Member services and the Enrollment departments across Medicaid . Create best-in-class solutions that integrate technology, information and business… more
- Elmcrest Children's Center (Syracuse, NY)
- …Responsibilities: + Clinical oversight, and supervision of Nurses on-site and contracted Medicaid nurses for Medically Fragile program + Oversight of the Medically ... Experience for 2 years preferred + Private Duty NYS Medicaid , NPI number and Provider ID (preferred) + Additional..., NPI number and Provider ID (preferred) + Additional Eligibility Qualifications : + Experience with EHRs and other… more
- NTT America, Inc. (Baton Rouge, LA)
- …years in implementation, operations, and maintenance of health care claims processing or eligibility system projects. + Experience with Medicaid , SNAP or TANF ... with key decision-makers. . Develops and maintains strong relationships with state Medicaid and social services agencies. . Ensures that full life cycle delivery… more
- Atlantic Health System (Morristown, NJ)
- …fraud and abuse issues, HIPAA compliance, EMTALA, Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate governance and regulatory ... corporate work experience, including prior experience with hospitals, Medicare and Medicaid , and federal and state healthcare regulatory issues, including fraud and… more