- Evolent (Jackson, MS)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Elara Caring (Divernon, IL)
- …federal, state , and local regulations along with current Medicare, Medicaid , and third-party reimbursement regulations and changes. + Assures the continuity of ... and related needs, and in the therapy home exercise program providing requests for modification and clarification. + Promotes...Therapy Association + Current, unrestricted COTA certification in the state of work + Minimum one (1) year of… more
- Molina Healthcare (Tacoma, WA)
- …of claims processing related to inpatient/outpatient facilities contracted with Medicare, Medicaid , and Marketplace government -sponsored programs . * Data ... claims projects. * Evaluates claims using standard principles and applicable state -specific regulations to identify claims processing errors. * Applies claims… more
- Cleveland Clinic (Akron, OH)
- …Technologists use radiation safety measures and protection devices to comply with government regulations and to ensure the safety of patients and staff. **A ... billing via RIS. + Assist with all policies and procedures required by local, state and federal law and with compliance or credentialing bodies (ACR, MQSA, Medicare,… more
- Prime Healthcare (Redding, CA)
- …Screens and refers patients for possible linkage to state , county or other government assistance programs as well as Charity or Discounts as per the facility ... Financial Counselor works closely with Case Management in securing Medicaid /Medical treatment authorizations as needed. Maintains effective communication skills,… more
- Prime Healthcare (Victorville, CA)
- …Screens and refers patients for possible linkage to state , county or other government assistance programs as well as Charity or Discounts as per the facility ... Financial Counselor works closely with Case Management in securing Medicaid /Medical treatment authorizations as needed. Maintains effective communication skills,… more
- Highmark Health (Cheyenne, WY)
- …deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act ... medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation… more
- Cleveland Clinic (Cleveland, OH)
- …Technologists use radiation safety measures and protection devices to comply with government regulations and to ensure the safety of patients and caregivers. **A ... via RIS. + Assist with all policies and procedures required by local, state , and federal law, and with compliance or credentialing bodies (ACR, MQSA, Medicare,… more
- Amergis (Fort Worth, TX)
- …managing cases, and supporting ARD meetings to ensure compliance with federal, state , and district guidelines. Caseload Details + Caseload Size: 50-70 students + ... case manager for assigned evaluations o Maintain documentation for Medicaid billing o Input evaluations, session notes, and progress...TEA and federal regulations + Must meet all federal, state , and local requirements + Must be at least… more
- Amergis (Killeen, TX)
- …+ Serve as case manager for assigned evaluations + Maintain documentation for Medicaid billing and district systems + Participate in ARD meetings, present assessment ... (if applicable) + Current health certificate (per contract or state regulation) + Must meet all federal, state...insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on employment status. About… more