- CVS Health (Madison, WI)
- …and predetermination of covered benefits in the commercial, Medicare, and Medicaid environment. This Wheelchair DME consultant provides subject matter expertise in ... application of Aetna policies and practices for commercial, Medicare, and Medicaid environments. ◾Proactively use data analysis to identify opportunities for quality… more
- CVS Health (Springfield, IL)
- …submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... CPC. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder). + Computer proficiency… more
- MyFlorida (Orlando, FL)
- …OPEN COMPETITIVE APPOINTMENT Class Title: Senior Human Services Program Specialist Position Number: 64003893 Salary: $1,680.00 Biweekly Program: Sunshine Care ... copayments and deductibles of various types of insurance to include Medicare, Medicaid , private insurance, ACA Health Insurance, or VA Insurance Premium. + Incumbent… more
- New York State Civil Service (NY)
- …in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility . * If you are employed by state government you may be able to ... administration, administrative services, administrative oversight, training, special education, behavior specialist , habilitation specialist , project management, research, or… more
- St Croix Hospice (Delavan, WI)
- …physical assessments, performs face to face assessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team. The ... prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …through the appropriate appointment workflows, including verifying patient insurance eligibility , scanning all necessary identification into the EMR system, and ... via email, computer, fax, and mail. + Verifies patient insurance eligibility and benefits through various payers, including commercial insurances, Medicaid… more
- Idaho Division of Human Resources (Pocatello, ID)
- …like a good fit to you, we are seeking applicants for aPsychosocial Rehabilitation Specialist (PSR)to join our Child and Family Services team. This position will be ... through medical provider + Public Service Loan Forgiveness (PSLF) Eligibility (https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service) + Employee assistance program Additional information related… more
- Whidbey General Hospital (Oak Harbor, WA)
- …Verifier: + Contacts insurance companies on preadmissions and admissions, verifying eligibility and benefits for patients. + Notifies the Financial Advocate and/or ... referrals and authorizations in place. + Documents contact person name, eligibility , benefits, referrals, authorization, and any other pertinent information in… more
- MyFlorida (Gainesville, FL)
- …to include medical practitioner, nurse, dentist, psychiatrist, behavioral specialist , physical therapist, occupational therapist, speech therapist, dietitian, ... during the assessment period. Maintains compliance with State, Federal, and Medicaid regulations. Provides training, leadership, and monitoring to ensure all Agency… more
- St Croix Hospice (Moberly, MO)
- …patients, completes physical and face-to-face assessments, and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team. ... required face-to-face assessments for hospice recertification and provides clinical eligibility information to the medical director. + Ensures effective symptom… more