- WellSpan Health (York, PA)
- …Interacts with the appropriate Teams to determine proper account resolution. + Researches Medicare and Medicaid accounts for inclusion on the Medicare and ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- New York State Civil Service (New York, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more
- CenterWell (Baker, LA)
- …email, etc.). **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid provider ... numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines. **Compensation… more
- University of Rochester (Rochester, NY)
- …create barriers to access for patients. Remains knowledgeable of private payer, Medicare , and Medicaid structure systems and reimbursement processes. Respond to all ... providers, as well as University of Rochester groups, with Medicare and Medicaid as required each cycle. + Completes...to the electronic submission of applications through the online Medicare system as well as paper applications. + Analyzes… more
- Humana (Frankfort, KY)
- …ensuring the accurate and timely submission of encounter data to Medicaid, Medicare , and DSNP states, while maintaining adherence to all regulatory requirements. The ... is responsible for ensuring the integrity and accuracy of Medicaid and Medicare encounter data across multiple trading partners. This role collaborates with Product… more
- CenterWell (Clarksville, IN)
- …directly applicable experience. + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid ... provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers. + Familiarity with HEDIS quality indicators and Medicare guidelines.… more
- New York State Civil Service (Rochester, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more
- Trinity Health (Clive, IA)
- …physician offices. Ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides excellent ... of coding diagnoses and procedures as required for insurance authorizations and Medicare compliance. Utilizes online program for Medicare compliance, checking… more
- CenterWell (Indianapolis, IN)
- …email, etc.). **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid provider ... numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines. **Compensation… more
- New York State Civil Service (Stormville, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more