- US Tech Solutions (May, OK)
- …requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided through multiple channels ... where needed. **Responsibilities:** + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). 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 (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree) (eligibility… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). 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 (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree) (eligibility… more
- Always Best Care Senior Services (San Diego, CA)
- …Manager Always Best Care Home Health is seeking a RN Clinical Manager with Medicare experience to guide, lead and build a fast growing, results oriented Home Health ... year in home care. * Knowledge of community resources, Medicare and state regulations, ACHC requirements, and reimbursement criteria...at least 3 -5 years of experience in a Medicare Home Health environment and hold a current RN… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). 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 (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree) (eligibility… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). 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 (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree) (eligibility… more
- Molina Healthcare (Meridian, ID)
- …to determine if providers have sanctions/exclusions. * Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of ... Medicare . * Reviews and processes daily NPDB Continuous Query reports and takes appropriate action when new reports are found. **JOB QUALIFICATIONS** **Required… more
- Tidelands Health (Murrells Inlet, SC)
- …and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ... Notice, AOB (Assignment of Benefits), Medicare Important Messages etc. Provides information and/or handouts and answers questions on patient rights and… more
- UPMC (Pittsburgh, PA)
- …Plan is seeking a full-time Operations Analyst, Associate to support the Medicare HCC Department. This position will be home-based; however, it requires extensive ... in other industries will be considered + Knowledge of Commercial, Medicaid, Medicare and Individual products preferred. + Competence in MS Office required, including… more
- RWJBarnabas Health (Jersey City, NJ)
- …that an appropriate Advance Beneficiary Notification (ABN) is obtained from Medicare beneficiaries for laboratory tests, procedures, and other medical services that ... may not be paid by Medicare . + Ensure accurate reimbursement of all accounts by correctly identifying insurance carriers/plans and obtaining complete insurance… more