- Capgemini (Cincinnati, OH)
- … Medicaid or Exchange program/ product build knowledge (Enrollment, Eligibility , Claims, Provider network, encounters etc) (Highly Recommended having exposure to ... areas to plan testing (good to have) Incorporate effective scope/change management impact assessment and controls Maintain project documentation Escalate issues to… more
- American Heart Association (Dallas, TX)
- …in monitoring relevant national programs such as the Center for Medicare/ Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS) and, Hospital Inpatient ... information in national programs, databases, and clearinghouses. + Provides project management support and subject matter expertise for the submission of American… more
- Sanford Health (Worthington, MN)
- …selection, dispensing and setup, documentation, billing, compliance, and performance management . Provide first-line communication with a variety of patients, ... documentation, and reimbursement guidelines/issues, including but not limited to Medicare, Medicaid , other third party, and contracted payers. Balance the cash… more
- Houston Methodist (Houston, TX)
- …related to billing functions, including communicating claim issues to departmental management for further discussion with payor representatives and other key ... + Demonstrates understanding of fundamentals of all payors, including Medicare, Medicaid and commercial payors, and applicable revenue cycle operations. + Maintains… more
- CVS Health (Downers Grove, IL)
- …in a team and manage multiple priorities, utilizes effective time management skills, and exercise sound judgment. + Exceptional organizational and interpersonal ... outreach or home visits to members/patients). + Experience in serving the Medicaid Populations in urban or rural environments with familiarity of local, formal,… more
- Dartmouth Health (Bennington, VT)
- …A sign-on bonus and relocation stipend may also be available, subject to eligibility . * Eligible for Public Service Loan Forgiveness (PLSF) through 501 (c)(3) ... organizations, including The Joint Commission, the Centers for Medicare and Medicaid Services, and the American Nurses Credentialing Center. Picture yourself living… more
- Dartmouth Health (Bennington, VT)
- …sign-on bonus and relocation stipend may also be available, subject to eligibility . * Hospital Employed position (Dartmouth Health) SVMC is an integrated, non-profit ... organizations, including The Joint Commission, the Centers for Medicare and Medicaid Services and the American Nurses Credentialing Center. Responsibilities *… more
- HCA Healthcare (Plantation, FL)
- …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
- Centene Corporation (Springfield, IL)
- …REMOTE/WORK FROM HOME WITH 50% TRAVEL IN THE SKOKIE, IL AREA SUPPORTING MEDICAID NON-WAIVER NURSING FACILITY MEMBERS. MILEAGE IS REIMBURSED AT THE CURRENT IRS ... Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop… more
- BrightSpring Health Services (Lexington, KY)
- …Regional Travel is required. We value candidates with direct sales and account management experience, a KY or TN State Insurance Licence (or willingness to quickly ... providing professional, accurate and timely response to all inquiries regarding eligibility , plan coverage, coordination of benefits and claim payment solutions. +… more