- CareFirst (Baltimore, MD)
- …role will also oversee complex projects related to provider contracts, reimbursement methods, documentation and amendments, and participate in internal workgroups ... a consultant and subject matter expert (SME) in contracting and reimbursement , offering insights during contract development and negotiations with smaller provider… more
- University of Michigan (Ann Arbor, MI)
- …for accurate claim submission, resolve complex insurance inquiries and reimbursement issues; monitor and analyze outstanding insurance receivables with ... responsibility for ensuring optimal reimbursement . **Mission Statement** Michigan Medicine improves the health of...to submit clean claims and collect from private insurers, Medicaid and Medicare. **Modes of Work** Positions that are… more
- CommonSpirit Health (Phoenix, AZ)
- …supporting negotiations across a diverse payer portfolio, including commercial, Medicare, Medicaid , Health Insurance Exchange plans, and more. The Analyst leverages ... with internal Core Analytics Tools, to inform contract strategy, optimize reimbursement , and identify risks and opportunities in payer arrangements. The role… more
- NHS Management, LLC (Ocala, FL)
- …+ Healthcare billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's + Experience with Medicaid ... and produce results under pressure + Fundamental knowledge of accounting practices and agency reimbursement programs + Must be at least 18 years of age + Must speak,… more
- Centene Corporation (Tallahassee, FL)
- …benefits including a fresh perspective on workplace flexibility. Kentucky Medicaid Kentucky Residency not required Outpatient services **Position Purpose:** Performs ... assigned. + Complies with all policies and standards. Kentucky Medicaid Kentucky Residency not required Outpatient services **Education/Experience:** Requires… more
- UCHealth (Colorado Springs, CO)
- …to provide services reimbursable services and maintain provider status with Medicare and Medicaid . + Eligible to provide services with no sanctions or exclusion from ... reimbursable services and maintain provider status with Medicare and Medicaid . + Eligible to provide services with no sanctions...pre-paid by UCHealth or in the form of tuition reimbursement each calendar year. About UCHealth UCHealth is an… more
- CVS Health (Columbus, OH)
- …the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid , OhioRISE will help struggling children and their families by focusing on the ... * Reliable transportation required * Mileage is reimbursed per our company expense reimbursement policy * Willing and able to work beyond core business hours of… more
- Actalent (Canton, OH)
- …long-term behavioral health services + Maintain accurate documentation and comply with Medicaid billing requirements What You Bring + Bachelor's degree in a social ... excellent driving record + Willingness to obtain NPI and Medicaid billing number (support provided) + Passion for mental...vision insurance + Flex Spending Account + Annual wellness reimbursement + Accrue 3 weeks of PTO in your… more
- State of Indiana (Beech Grove, IN)
- …Services Administration (FSSA) is responsible for establishing eligibility for Medicaid , Supplemental Nutrition Assistance Program and Temporary Assistance for Needy ... + Conduct full eligibility interviews for SNAP, TANF and Medicaid applicants. + Keep current on all changes in...12 paid holidays, 14 on election years + Education Reimbursement Program + Group life insurance + Referral Bonus… more
- AmeriHealth Caritas (Washington, DC)
- …4 days a week. ;Field travel during these days to meet with our Medicaid members.;; **Education/ Experience:;** + Qualified candidates must reside in the DC Metro ... health setting.; + Minimum of years of case management experience supporting Medicaid members within a managed care organization preferred. + Must be willing… more