- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... decisions. + Ensure that all grievances/appeals are processed in adherence to state and federal regulations (ie, CMS, MassHealth, OPP), contractual obligations, NCQA… more
- Rush University Medical Center (Chicago, IL)
- …clearance, accounting, or customer service. * Knowledge of insurance and governmental programs , regulations, and billing processes eg, Medicare, Medicaid , Social ... authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, ancillary… more
- Waystar (Atlanta, GA)
- …with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, mutually beneficial data exchanges that drive ... and understanding of the driving forces in the local, state , and national healthcare markets and the ability to...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Fallon Health (Dartmouth, MA)
- …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more
- Cleveland Clinic (Mayfield Heights, OH)
- …in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid : Government agency that provides reimbursement for accredited trainees) surveys ... and experience world-class healthcare at its best. Hillcrest Hospital provides state -of-the-art healthcare to all its patients. Cleveland Clinic is recognized as… more
- Fallon Health (Lowell, MA)
- …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more
- OhioHealth (Marion, OH)
- …implementing, communicating, managing and monitoring the needs of the physician contracting program . This role is a subject matter expert, with current knowledge of ... policies, procedures, compliance, fair market value acumen and state & federal rules and regulations. The depth of...is to: (a) lead and manage the physician contracting program by ensuring all individual physician and physician group… more
- Fairview Health Services (Minneapolis, MN)
- …Department Interpret and demonstrate accurate application of third-party payer and government payer contracts. + Understand regulatory, HMO, PPO, Federal, State ... Perform collection tasks to obtain payments from third party payers, government , and private accounts. Negotiate payment plan arrangement with delinquent patient… more
- COOLSOFT (Tallahassee, FL)
- …state government /public sector experience with health and human services programs preferred (such as Medicaid , MMIS, claims processing, eligibility, HHS ... analytics, SNAP, etc.). * Working knowledge of government regulations as they pertain to the advance planning document writing process. * Strong communication and… more
- Humana (New York, NY)
- …plans + Provide guidance and interpretation about security standards, practices, and programs to support regional and global business and security initiatives + ... Partake in continuous Executive Protection training + Maintains liaison with government , industry, and intelligence professionals + Brief Executives on geopolitical… more