- Marshfield Clinic (Weston, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... This position may be eligible for a sign on bonus! **WORK SHIFT** 2 :30pm-11:00pm, variable days, to include call rotation **CENTRAL SERVICE TECHNICIAN I:** The… more
- Dana-Farber Cancer Institute (Boston, MA)
- …experience. The P/FR Specialist will support the Patient / Family Relations program at the Institute, including the outpatient and inpatient locations, by serving ... and others as necessary regarding terminations of patient care. Patient/Family Relations Program + Assists in maintaining the Service Recovery Program inventory… more
- CenterWell (Anderson, SC)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, ... **Required Qualifications:** + Graduate of accredited MD or DO program from an accredited university + Current and unrestricted...Internal Medicine or Geriatric Medicine preferred + At least 2 years of relevant experience + Active and unrestricted… more
- CenterWell (Spartanburg, SC)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, ... **Required Qualifications:** + Graduate of accredited MD or DO program from an accredited university + Current and unrestricted...Internal Medicine or Geriatric Medicine preferred + At least 2 years of relevant experience + Active and unrestricted… more
- Banner Health (Glendale, AZ)
- …the plan across the continuum of care. 4. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning ... to achieve the optimal clinical care, financial, operational, and satisfaction outcomes. 2 . Acts in a leadership function with process improvement activities for… more
- Stanford Health Care (Palo Alto, CA)
- …detailed review of medical records. Ensure compliance with Medicare, Medicaid , third-party guidelines, Local Coverage Determinations (LCD), National Coverage ... + Collaboration with Management: Identify and escalate denial patterns to the Manager of Government Audits and Appeals, providing detailed information for follow-up… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care for the ... Keeps records and submits reports as assigned by the Manager + Refers high-risk cases to the appropriate FH...a Registered Nurse in a clinical setting required. + 2 years' experience as a Utilization Management/Prior Authorization nurse… more
- Banner Health (Phoenix, AZ)
- …the plan across the continuum of care. 4. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning ... to achieve the optimal clinical care, financial, operational, and satisfaction outcomes. 2 . Acts in a leadership function with process improvement activities for… more
- Hartford HealthCare (Hartford, CT)
- …with the approved Revenue Compliance Work Plan or as requested by the Manager or Director. . Maintains organized files to support audit observations and drafts ... education on payor rules, requirements and regulatory guidelines (HHS/OIG, Medicare, Medicaid , NGS, Commercial Insurers, etc). . Assists with review and/or… more
- CenterWell (Atlanta, GA)
- …**Required Qualifications** + MD/DO + 8 or more years of technical experience + 2 or more years of project leadership experience + Licensure requirements of the ... of jurisdiction + Graduate of accredited MD or DO program of accredited university + Prefer Internal Medicine specialty...and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five… more