- The Cigna Group (Bloomfield, CT)
- …Position:** + The Product Management Advisor is responsible for supporting the Medicaid Encounter and Medicare prescription drug event (PDE) operational ... remediation, in accordance with State guidance/regulations and Center for Medicare and Medicaid Services (CMS) and provide...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- WMCHealth (Valhalla, NY)
- …accuracy of data on all documents and bills to third party billing companies, Medicare and Medicaid , as well as insurance denial review as appropriate. + ... procedures for Facility Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility, Insurance denial review and overturn… more
- CVS Health (Buffalo Grove, IL)
- …interpreting drug information to support UM. Knowledge of regulations impacting UM for Medicare , Medicaid and Exchange clients is preferred. It will be necessary ... to create clinical content for all business segments (Commercial, Medicare , Medicaid and Marketplace) including standard and client requested programs with the… more
- WMCHealth (Valhalla, NY)
- …Compliance & Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare / Medicaid billing regulations, and the 340B Drug Pricing Program + ... Compliance & Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare / Medicaid billing regulations, and the 340B Drug Pricing Program +… more
- Penn Medicine (Philadelphia, PA)
- …submits and follows up on managed care exports and/or government payers (DE/PA/NJ Medicare , PA/NJ Medicaid , Rail Road) or Behavioral Health (Perform Care, ... communicating in a professional manner. Must have an understanding of government ( Medicare / Medicaid ), Managed Care or Behavioral Health plan enrollment policies… more
- WMCHealth (Hawthorne, NY)
- …in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA) ... the Medical Staff Office by identifying, initiating, monitoring, and maintaining Medicaid and Medicare enrollment requirements. + Ensure proper attention… more
- MedKoder (Mandeville, LA)
- …and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare , Medicaid , and third-party payer guidelines to ensure receipt ... of accurate reimbursement . Physician Coding Auditor is expected to adhere to...guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional… more
- Aveanna Healthcare (Clark, NJ)
- …any time with or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... salary based on branch performance), cell phone and mileage reimbursement . Up to 80 hours of vacation accrual in...or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply… more
- LA Care Health Plan (Los Angeles, CA)
- …and adherence to LA Care's Policies & Procedures that meet Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care ... health care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment and/or public services or public benefits programs. At… more
- UCHealth (Colorado Springs, CO)
- …+ Eligible to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . + Eligible to provide services with no sanctions ... provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . + Eligible to provide...pre-paid by UCHealth or in the form of tuition reimbursement each calendar year. About UCHealth UCHealth is an… more