- City of New York (New York, NY)
- …(TPHI) Reimbursement Unit is responsible for the authorization of Medicaid reimbursement claims of consumers receiving public health insurance which ... premium payments to avoid insurance policy cancellation, interview, review, and process reimbursement claims for related Medicaid reimbursement out-of-pocket… more
- Baylor Scott & White Health (Indianapolis, IN)
- …Years of Experience + State Supplemental Payment Program Experience **preferred.** + Medicaid and Medicare Reimbursement Experience **highly preferred** + Degree ... vary based on position type and/or level **Job Summary** The Manager of Reimbursement reviews cost reports for supported entities. Assists Reimbursement Managers… more
- UNC Health Care (Goldsboro, NC)
- …who meet the eligibility criteria. Obtains eligibility for patients entitled to Medicaid for the purpose of obtaining reimbursement for services provided ... well-being of the unique communities we serve. Summary: The Medicaid Eligibility Specialist screens, coordinates and facilitates the ...on complex financial concepts and procedures of applying for Medicaid . 6. In some cases, may act as the… more
- Masonicare (Wallingford, CT)
- …in geriatric nursing; Requires at least two (2) years experience with federal Medicare/ Medicaid and Managed Care reimbursement systems with a thorough working ... RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut RN Manager...office. + Keeps abreast of changes in the Medicare, Medicaid and managed care areans and MDS/RAI processes through… more
- City of New York (New York, NY)
- …standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or services rendered to Medicaid ... OAS, County Demo Unit performs audits to assess the Medicaid Provider's compliance with laws, rules, regulations, and policies...compliance with laws, rules, regulations, and policies of the Medicaid program as set forth by the Departments of… more
- Elderwood (Liverpool, NY)
- …requests and appeals processes. + Manages NYS RUGs III case mix for Medicaid reimbursement . + Completes occasional travel between facilities and Elderwood ... with Medicare experience? Do you consider yourself an expert in assessment and reimbursement methodology? Elderwood at Liverpool wants to talk with you! RN - MDS… more
- Robert Half Legal (Westminster, CO)
- …healthcare fraud and abuse (eg, anti-kickback, Stark, and FCA), and Medicare and Medicaid reimbursement and compliance is a must. Requirements Requirements: + ... fraud and abuse (eg, anti-kickback, Stark, and FCA), and Medicare and Medicaid reimbursement and compliance is a must. + Legal content writing experience, such… more
- South Bend Empowerment Zone (South Bend, IN)
- …Physician's Referral for each student receiving OT and PT services . (Required for Medicaid reimbursement .) QUALIFICATIONS: + Record the time and date of OT ... services on the SBCSC's Medicaid billing provider's website . + File documentation of...individual student's working OT file or electronically on the Medicaid billing provider's website. + Maintain active Indiana OT… more
- Trinity Health (Spring Lake, MI)
- …of residents, ensuring proper care planning, and maximizing Medicare and Medicaid reimbursement . **Key Responsibilities:** + Coordinate the assessment and ... (Resident Assessment Instrument) process and care planning. + Knowledge of Medicare, Medicaid , and reimbursement procedures related to MDS. + Excellent… more
- Truman Medical Centers (Kansas City, MO)
- …standards. + **Know your stuff** : Stay sharp on third-party billing, Medicare/ Medicaid reimbursement , financial assistance programs, and all the latest in ... or insurance claims. + **Solid experience** in commercial insurance, Medicare, and Medicaid reimbursement (the more you know, the better!). + **Comfort with the… more