- Albany Medical Center (Albany, NY)
- …staff with setting up patients' discharge needs. Principal Responsibilities + Assists with obtaining Durable Medical Equipment ( DME ), including but not ... toreasonable accommodations. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require… more
- Commonwealth Care Alliance (Springfield, MA)
- …and in collaboration with PCP and/or external providers. + Evaluate for and prescribe necessary Durable Medical Equipment ( DME ) + Monitor response to ... of patients incorporates the care of individuals with significant medical , behavioral, and social complexities that require intensive care...- NP or PA) serves as a lead for medical care delivery and care coordination for the most… more
- Commonwealth Care Alliance (Springfield, MA)
- …updates to PCP, Providers, and HP as required + Supports the procurement of Durable Medical Equipment , transportation, LTSS services and supports, and ... panel of CCA's patients incorporates the care of individuals with significant medical , behavioral, and social complexities that require intensive care management and… more
- UPMC (Pittsburgh, PA)
- …including Interqual, Mahalik, and health plan policy and procedures for inpatient, outpatient, Durable Medical Equipment ( DME ), Behavioral Health, and ... clinicians, physicians, and UPMC Health Plan care managers and Medical Directors as part of the member treatment team....notification to providers as applicable. Consult with health plan medical director to discuss medical necessity for… more
- CVS Health (Des Moines, IA)
- …experience working in Excel, Outlook, and Word. **Preferred Qualifications** + Home infusion or durable medical equipment ( DME ) experience + Strong ... Medicare Part B infusion claim edits + Conduct continued medical necessity reviews for long term, cyclical therapies +...with CVS Specialty Pharmacy as needed + Review Medicare medical necessity denials + Submit documentation of continued … more
- Dentsply Sirona (Braselton, GA)
- …Type of Experience** + Clinical experience as a Medical Assistant preferred + DME ( Durable Medical Equipment ) customer service or billing experience ... : 81461 Wellspect Healthcare is a leading global provider of innovative medical devices that help people suffering from urinary retention or chronic constipation.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …be referred to (ie Women, Infants & Children, WIC), insurance navigation services, pharmacies, durable medical equipment ( DME ) companies, etc.). + May ... our academic community. **Description** KEY RESPONSIBILITIES: + Responsible for providing Medical Nutrition Therapy (MNT) to patients enrolled in various studies in… more
- UNC Health Care (Kinston, NC)
- …the employees. Responsibilities: Physicians, patients, and customers are served by providing quality durable medical equipment and supplies in a timely ... care. 3. Oversee the selection, storage, delivery and ongoing maintenance of home medical equipment and supplies. 4. Develop, implement and monitor DME… more
- NDCP (Duluth, GA)
- …list is inclusive of defense attorneys and other ancillary service providers (eg, diagnostics, durable medical equipment ( DME ), Field Case Management ... The ideal candidate has experience adjusting workers' compensation lost time and medical only claims in an insurance company, third party administrator (TPA), or… more
- Integra Partners (Troy, MI)
- …Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment , prosthetic, and orthotic supplies (DMEPOS) network ... to Integra Partners from our provider/plan partners. Responsible for the review of DME claims for billing accuracy. Responsible for the investigation of root cause… more