- Trinity Health (Ann Arbor, MI)
- …provide financial assistance or secure payment. Facilitates processing of Medicaid and other financial assistance application and initiates eligibility determination ... payments. Assists potentially eligible patients in completing forms for bank loans, Medicaid , CMHS charity care and other sources of financial assistance within… more
- Diversicare Healthcare Services & Diversicare Ther (Huntsville, AL)
- …Time Benefits include:** + **Medical/Dental/Vision** + **Excellent 401k plan** + **Tuition Reimbursement ** + **Vacation, Holiday, and Sick Time** + **Long and Short ... guidelines and State and Federal regulations. 14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely (ie: certifications, denial… 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
- UCHealth (Longmont, CO)
- …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
- The Wesley Community (Saratoga Springs, NY)
- …prompt follow-up and appeal submissions when necessary to minimize delays in reimbursement . + Process Private Pay statements and promptly follow up on delinquent ... members to resolve billing-related concerns. + Ensure compliance with Medicare/ Medicaid billing requirements, regulatory standards, and facility specific protocols.… more
- The Cigna Group (Bloomfield, CT)
- …Position:** + The Product Management Advisor is responsible for supporting the Medicaid Encounter and Medicare prescription drug event (PDE) operational processes to ... in accordance with State guidance/regulations and Center for Medicare and Medicaid Services (CMS) and provide subject matter expertise to internal/external… more
- WMCHealth (Valhalla, NY)
- …data on all documents and bills to third party billing companies, Medicare and Medicaid , as well as insurance denial review as appropriate. + Ability to multi-task ... for Facility Billing, Insurance Verifications, Third Party Insurance coverage, Medicaid and Medicare eligibility, Insurance denial review and overturn procedures.… more
- Humana (Atlanta, GA)
- …Proven planning, preparation and presenting skills, with established knowledge of reimbursement and bonus methodologies + Demonstrated ability to manage multiple ... **Preferred Qualifications** + Bachelor's Degree + Experience with Medicare and Medicaid + Comprehensive knowledge of Medicare policies, processes and procedures… more
- CVS Health (Buffalo Grove, IL)
- …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 ability to be… more
- WMCHealth (Valhalla, NY)
- …& Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare/ Medicaid billing regulations, and the 340B Drug Pricing Program + Participate in ... & Quality Assurance: + Ensure all activities are compliant with HIPAA, Medicare/ Medicaid billing regulations, and the 340B Drug Pricing Program + Participate in… more