- CenterWell (Greer, SC)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of ... two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in… more
- State of Georgia (Richmond County, GA)
- …must perform the following duties: Must have experience in Patient Billing in Medicare , Medicaid, or 3rd Party Insurance. + Oversee interviews and data entry to ... and monitor client eligibility for benefits like Social Security, Medicare , and Medicaid. + Track and report Medicare... Medicare , and Medicaid. + Track and report Medicare credit balances, approve bad debt write-offs, complete provider… more
- Aveanna Healthcare (Dudley, MA)
- …offers both short-term and long-term care services, catering to individuals under the Medicare and Medicaid programs, as well as those with Private Insurance and ... be able to read and write English Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- CVS Health (CT)
- …meet expected outcomes for multiple requirements, including but not limited to, Medicare pricing methodologies and contracts, various Medicare Advantage claim ... + Claims adjudication background. **Preferred Qualifications** + Knowledge of Medicare Advantage products, claim policies and procedures. + Experience interpreting… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …in state health care facilities for purposes of maximizing reimbursement revenue via Medicare Part B programs; + May review medical records and compile documents for ... interviews of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of appeals on behalf of… more
- Somatus (Phoenix, AZ)
- …+ Educate patients on their insurance options including Group Health Plans (GHPs), Medicare , Medicaid, and managed care plans. Serve as a liaison between patients, ... + Maintains a customer/client focus. + Strong understanding of insurance, Medicare , Medicaid, patient payment processes. + Strong interpersonal skills to effectively… more
- Whidbey General Hospital (Coupeville, WA)
- …necessity reviews at a minimum of every 12 hours (twice daily). Completes Medicare extended stay reviews, as appropriate. + Identifies and escalates all 1MN and ... 2MN Medicare IP stays. Collaborates with Transitions of Care Management...and federal and state governing bodies. Provides support regarding Medicare documentation requirements. + Participates in the delivery of… more
- CVS Health (IL)
- …records coded by internal teams prior to the submission to the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... record documentation review, diagnosis coding, and/or auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical… more
- UnityPoint Health (Des Moines, IA)
- …* Processes billing statements from providers, identifying pre-transplant cost for Medicare and commercial cost reports. Produces and maintains documentation and ... knowledge of federal End Stage Renal Disease (ESRD) guidelines, commercial and Medicare transplant specific financial and benefit requirements as well as Medicare… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …compliance to regulatory and health plan requirements for authorization, including Medicare Inpatient Only List and communicates to provider to obtain accurate ... ensure patient class determinations * Serves as expert resource for all Medicare Notification Letters and ensures appropriate distribution of all letters (IMM, MOON,… more