- CenterWell (Stone Mountain, GA)
- …for TB. **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare ... care environment in a value based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional… more
- Stony Brook University (Stony Brook, NY)
- …billing processes and troubleshooting billing questions according to NYS DOH, Medicare , Medicaid and patient insurance regulations. d. Monitors the Reference Lab ... bills (invoices). Ensures tests are ordered, performed, and billed per Medicare /OIG regulations. f. Audits all test credits performed in Specimen Receiving… more
- Centene Corporation (Lansing, MI)
- …+ Oversee, administer, and implement various aspects of the Medicare Compliance program, including HPMS communication/regulation + Ability to research ... contract language + Identify, evaluate and analyze the impact of CMS and Medicare regulatory issues and advise management concerning impact + Partner with various… more
- Elevance Health (Columbus, OH)
- …and appeals leadership in regulated audits. + Oversight of the IRE portions of Medicare audits and universe production. + Serves as a resource for complex issues and ... managerial experience is strongly preferred + Experience with IRE/Maximus and Medicare compliance, programs, guidelines, and processes are strongly preferred. +… more
- Humana (Little Rock, AR)
- …of the responsibilities: + Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if there ... proper entries to the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required… more
- Prime Therapeutics (Lansing, MI)
- …in a manner that meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliance compliant + ... operations (eg workflow processes and case management) + Government programs ( Medicare ) knowledge **Preferred Qualifications** + Contact Center experience + Pharmacy… more
- HCA Healthcare (Davie, FL)
- …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local ... to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team… more
- Public Citizen (Washington, DC)
- …(FDA), the Centers for Disease Control and Prevention (CDC), the Centers for Medicare & Medicaid Services (CMS), and other HHS agencies and government health ... influence at HHS and subagencies; (c) the undermining of Medicare and Medicaid, including through the expansion of ...Medicare and Medicaid, including through the expansion of Medicare Advantage; (c) regulatory and other attacks on the… more
- MPAC Healthcare (Chicago, IL)
- …support * Responsible for all documentation requirements and keeping up-to-date on Medicare Benefit and commercial insurance plans. Key Requirements - LCSW - ... spirit accompanied by strong medical knowledge, understanding of documentation (CMS, Medicare , Medicaid) and nursing home/ hospital facility experience. * Have a… more
- Gentiva (Florence, AL)
- …and notify appropriate staff upon patient discharge or death + Verify Medicare eligibility and obtain required authorizations and reauthorizations + Process patient ... hospice, home health, or medical office administration + Familiarity with Medicare eligibility and insurance verification processes + EMR (Electronic Medical Record)… more