- Northwell Health (Valley Stream, NY)
- …assessment of patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health requirements, assessing residents for ... Medicare and managed care benefits. Ensures continuous maintenance of Minimum Data Set (MDS) computer-records. Ensures the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Job… more
- Pacific Medical Centers (Renton, WA)
- …+ IDX healthcare software application. + CHAMPUS, Medicare and/or Medicaid benefits/programs. **Why Join Providence?** Our best-in-class benefits are uniquely ... designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our mission to advocate, educate and provide extraordinary care. **About Providence** At… more
- UCHealth (Aurora, CO)
- …physician. Verifies insurance eligibility for governmental insurance payors (ie Medicaid , Medicare, Tricare, etc.). May complete Medicare Secondary Payor ... Questionnaire for all Medicare eligible patients. Reviews patient accounts for outstanding balances and forwards to Accounting. Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be… more
- Northwell Health (Lake Success, NY)
- …care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up ... discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical… more
- SSM Health (Reedsburg, WI)
- …and prior authorization for appropriate equipment/supplies. + Ensures compliance with Medicare, Medicaid and Accreditation Standards. + Works in a constant state of ... alertness and safe manner. + Performs other duties as assigned. EDUCATION + High School diploma/GED or 10 years of work experience EXPERIENCE + Two years' experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling objects weighing 0-25… more
- Dartmouth Health (Lebanon, NH)
- …application to public and private government and community agencies, primarily Medicaid . * Provides information and assistance to patients/families to secure ... financial and health assistance, organization financial assistance, and other governmental programs. * Performs other duties as required or assigned. Qualifications * Bachelor's degree in Social Work or Human Service field or the equivalent in education and… more
- CareFirst (Baltimore, MD)
- …+ Knowledge of healthcare or health insurance payor industry (Medicare, Medicaid , Commercial, DSNP and other payor programs), including legal and regulatory ... requirements. + Solid understanding of CPT-4, HCPCS, revenue and ICD coding, medical terminology, claims payment, contract negotiations and problem resolution. **Knowledge, Skills and Abilities (KSAs)** + Understanding of multiple reimbursement methodologies… more
- Atlantic Health System (Morristown, NJ)
- …- its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown ... Medical Center is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated a Level… more
- Highmark Health (Dover, DE)
- …and Practice + Creativity Skills + Clinical Systems + Company Presentations + Medicaid + Project Management + PowerPoint **Languages (other than English)** + None ... **Travel Required** 25% - 50% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-Based Teaches / trains others regularly Constantly Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily… more
- Wellpath (West Palm Beach, FL)
- …agency knowledge including The Joint Commission, DHSS, Centers for Medicaid /Medicare Services is preferred. Licenses/Certifications + Current licensure as a ... Registered Nurse within the state of employment. **What you will do** + Supervises nursing staff, including performance reviews, hiring, and disciplinary action. + Evaluates patient care quality and implements improvement initiatives, collaborating with Nurse… more