- Seafield Center, Inc. (Westhampton Beach, NY)
- …(EAPs, detox facilities, etc.). Facilitate appropriate admissions, assess medical eligibility , and refer as needed. Utilize assigned information systems effectively. ... and decision-making skills + Proficient in EMR, Microsoft Outlook, and Medicaid systems + Strong understanding of insurance processes and placement guidelines… more
- Centene Corporation (Cheyenne, WY)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... pharmacy** experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred. Prior experience using analysis tools or systems (ex:… more
- Sanford Health (Bemidji, MN)
- …prevent disease or disability. Counsels' patients and family members about self- management on prevention and treatment plan for health issues, tailoring instructions ... Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid , managed care, and private sources, as applicable. Demonstrate extensive advanced… more
- Sanford Health (Sioux Falls, SD)
- …prevent disease or disability. Counsels' patients and family members about self- management on prevention and treatment plan for health issues, tailoring instructions ... Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid , managed care, and private sources, as applicable. Demonstrate extensive advanced… 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._** ... Southern Joint Surgery Center. This entails financial analysis and management , cash flow, billing and collections. Your goal is...care contracts with third party payers including Medicare and Medicaid **What you should have for this role** +… 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
- 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 (Springfield, IL)
- …government and commercial insurances (ie, PPO, HMO, EPO, POS, Medicare, Medicaid , HRA's) and coordination of healthcare benefits, including requirements for ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- HCA Healthcare (Tamarac, 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
- Weill Cornell Medical College (New York, NY)
- …reviews and updates patient demographic and insurance information within the practice management billing system. + Verifies patient insurance eligibility and ... + Working knowledge of third party payor reimbursement - Medicare, Medicaid , Managed Care and commercial insurance. **Licenses and Certifications** **Working… more