- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …compliance with The Joint Commission requirements, Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines. Distributes and ... basic CPT coding. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must… more
- Prime Therapeutics (Denver, CO)
- …of the targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM process management system ... transferring calls to MTM staff or other department help lines + Document MTM eligibility and program status in the applicable software systems (ie, MSA Toolbox, RX… more
- Aveanna Healthcare (Quarryville, PA)
- …Employee Stock Purchase Plan with 15% discount + Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location ... from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
- HCA Healthcare (Nashville, TN)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... oversee center managed care contracts with third party payers including Medicare and Medicaid **What you should have for this role** + Bachelors degree in Business… more
- HCA Healthcare (Englewood, CO)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... You will maintain a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes. You will possess a thorough… more
- J&J Family of Companies (Omaha, NE)
- …and national payer policies; reimbursement regulations and processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims, and ... appeals/grievances); REMs certification; Medicare and Medicaid rules and regulations; and state-specific clinical staff licensing / certification requirements for… more
- HCA Healthcare (Savannah, GA)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... You will maintain a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes. You will possess a thorough… more
- CVS Health (Oklahoma City, OK)
- …**Preferred Qualifications** + Experience in utilization management + Knowledge of Medicare/ Medicaid and NCQA regulatory transitions of care criteria + Bilingual ... retiree medical access and many other benefits depending on eligibility . For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the… more
- Amergis (Pendleton, OR)
- …medical reports. + Prepare and maintain required records, charts, and Medicaid documentation. 4. Collaboration & Communication + Communicate effectively with ... insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as… more
- CVS Health (Springfield, IL)
- …government and commercial insurances (ie, PPO, HMO, EPO, POS, Medicare, Medicaid , HRA's) and coordination of healthcare benefits, including requirements for ... retiree medical access and many other benefits depending on eligibility . For more information, visit https://jobs.cvshealth.com/us/en/benefits This job does not… more