- SUNY Upstate Medical University (Syracuse, NY)
- …or will obtain within first month of employment. Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible for ... Medicare Enrollment within 6 months of hire. ACLS, PALS, NRP Provider (Neonatal Resuscitation Program), NALS, EFM (Electronic Fetal Monitoring), fetal monitoring NST… more
- NTT DATA North America (Cumberland, RI)
- …be responsible for ensuring corporate compliance with statutory requirements for Medicare , Medicaid, and Commercial enrollment for Clinics and Providers. **Role ... control for timely and accurate individual enrollment applications submitted for Medicare and Medicaid programs. * Resolve claims issues for individual payers… more
- CenterWell (Pinellas Park, FL)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable ... experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality… more
- BAYADA Home Health Care (Hilo, HI)
- …opportunities: Become our next Client Services Manager in a fast-growing Medicare -certified home health office** + BAYADA offers a comprehensive benefits plan ... of services (entering OASIS documentation) and monitoring metrics (admissions, % Medicare , referrals rejected by reason, etc.) while partnering with the manager… more
- Alight (Richmond, VA)
- …The Senior Benefits Relationship Manager oversees complex benefits administration, including Medicare and claims resolution, while serving as the primary client ... ensuring client satisfaction through extensive expertise in benefits and Medicare regulations. **Responsibilities** + Working with high profile participants,… more
- Hospice Of San Joaquin (Stockton, CA)
- …PURPOSE/SUMMARY: Hospice Admission Nurse evaluates the appropriateness of patients using Medicare requirements for Hospice benefits. May be required to explain legal ... staff as required. 1. Evaluate patients for appropriateness for Hospice Medicare Benefit. 2. Provide skilled nursing assessment/delivery of direct care. 3.… more
- Cognizant (Blaine, MN)
- …with 8 to 10 years of expertise in OnBase technologies and domain skills in Medicare and Medicaid Claims. The ideal candidate will work in a hybrid model focusing on ... + Ensure compliance with industry standards and regulations in Medicare and Medicaid claims processing. + Conduct regular code...Enabler Workview API and Workflow. . Demonstrate expertise in Medicare and Medicaid Claims Claims and Payer domains. .… more
- Houston Methodist (Houston, TX)
- …with the patient or patient guardian/representative. Ensures all Centers for Medicare & Medicaid Services (CMS) regulatory items are completed properly, including ... Medicare Secondary Payer Questionnaire (MSPQ). + Responds promptly to...electronic health record software (EPIC preferred) + Knowledge of Medicare , Medicaid and managed care reimbursement methodologies + Ability… more
- The Wesley Community (Saratoga Springs, NY)
- …by the rehab department while ensuring standards of practice are aligned with Medicare and other reimbursement regulators as it relates to accuracy and timeliness of ... + Communicates to nursing, social services and financial department Medicare Part B Utilization + Attends weekly Medicare... Medicare Part B Utilization + Attends weekly Medicare meetings and presents patient status, progress and assists… more
- Pine Acres Rehabilitation & Care Center (Fairfield, IA)
- …the service. This ensures the most accurate documentation. We are a Medicare /Medicaid certified home health agency and meet all Conditions of Participation (CoP's) ... per Medicare requirements. PRIMARY RESPONSIBILITIES: + Plan of Care: Provide...Policies: Completes all clinical documentation following agency protocol and Medicare /Federal guidelines. + Rules and Regulations: Understand and follow… more