- University of Rochester (Rochester, NY)
- …initiative in the collection of data along with, financial and reimbursement data for operational management, performance metrics, identification of revenue trends ... credential new providers with third party payers to ensure reimbursement for services provided. Serve as the liaison between...send requests to SMH Accounts Payable for transports with Medicaid based coverage. + Charge enter Medicaid … more
- embecta (Parsippany, NJ)
- …and national), Mail Order pharmacies, Durable Medical Equipment (DME) providers, State FFS Medicaid programs, Medicaid PBM's, Managed Medicaid payers and ... proficiency in pharmacy benefit, PBM's/payers, stakeholders across PBM/payer organization, reimbursement , formulary management, benefit design, reimbursement models… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …and tables for data analysis. + Ensure accurate billing and claims submission for Medicaid , Managed Care, and other third-party payors + Hiring and training staff. + ... + Prior supervisory or management experience _preferred_ + Knowledge of Florida Medicaid , Florida Managed Care Plans, and third-party payer systems + Familiarity… more
- Cognizant (Plano, TX)
- …Fee schedules, Service groups, etc. . Understand and build solutions for Medicaid - QNXT Benefit configuration matrix. . Conduct requirements discovery sessions with ... seek clarification when gaps are identified. . Interpret paper contracts for reimbursement . . Troubleshoot and remediate/workaround for claim pend issues. . QNXT… more
- East Boston Neighborhood Health Center (Revere, MA)
- …errors, and documentation gaps. + Maintain up-to-date knowledge of CMS, Medicaid , commercial payer, and industry standards for professional billing and coding. ... + Sequences diagnoses, procedures and complications by following ICD-10-CM, Medicare, Medicaid , and other fiscal intermediary guidelines. + Support implementation of… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …also possess 1 year experience in delivery of human services as a Targeted ( Medicaid ) Case Manager in the combination of: + chronic mental illness + Developmental ... also possess 1 year experience in delivery of human services as a Targeted ( Medicaid ) Case Manager in the combination of: * Chronic mental illness * Developmental… more
- State of Indiana (Indianapolis, IN)
- …across Indiana. About the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social ... This position is responsible for effectively coordinating and implementing the Medicaid legislative requirements and regulatory agenda in alignment with agency and… more
- Prime Healthcare (Lynwood, CA)
- …+ Familiar with hospital billing requirements + Knowledge of out of state Medicaid billing guidelines + Knowledge of basic managed care, Medicaid /Medicare ... + Working experience with all payer types including: commercial, governmental, Medicare, Medicaid , HMO, etc. and the ability to cross-over into different payers. Pay… more
- CVS Health (Springfield, IL)
- …implementation of strategic priorities for Behavioral Health in the IL HealthChoice Medicaid program. The ABHIL Chief Psychiatrist will be responsible for cost ... the UM team in predetermination reviews and providing clinical, coding, and reimbursement expertise. Work closely with UM team and clinical leaders to identify… more
- The Arc Erie County NY (Williamsville, NY)
- …Rate: + $31-$38 per hour + additional $2 per hour Benefits: + Mileage reimbursement + Affordable health, dental, vision & life insurance + 403b retirement program w/ ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more