- Texas Health Resources (Fort Worth, TX)
- …aspects of each treatment session in accordance with departmental, JCAHO, Medicare , and other applicable regulatory guidelines. + Documents assessments of education ... patient understanding of education provided in accordance with departmental, JCAHO, Medicare , and other applicable regulatory guidelines. + Reports and documents… more
- UPMC (Farrell, PA)
- …and resolve rejected claims, reliably coordinate multiple benefit payers, including Medicare obtaining all necessary paperwork including assignment of benefit forms. ... and resolve rejected claims, reliably coordinate multiple benefit payers including Medicare obtaining all necessary paperwork including assignment of benefit forms.… more
- BAYADA Home Health Care (Jacksonville, FL)
- …effective fiscal management of your caseload by monitoring metrics (admissions, % Medicare , referrals rejected by reason, etc.) + Client Services Managers will ... Services Manager:** + Bachelor degree is preferred. + Prior knowledge of/experience with Medicare , HomeCare Homebase, EPIC, and OASIS a plus + Prior medical office… more
- HCA Healthcare (Jacksonville, FL)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... 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
- St. Luke's University Health Network (Phillipsburg, NJ)
- …applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle ... Payment Care Initiative (BPCI) notification. + Monitors risk assessment using available tools and implements discharge interventions accordingly. + Actively addresses and monitors resource utilization and documents delays as appropriate. + Identifies patients… more
- Humana (Jackson, MS)
- …Ability to interpret and understand policy and/or government contracts (IE TRICARE, Medicare , Medicaid, CMS etc ). **Additional Information** **Work Style** : Remote ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … 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
- ChenMed (Miami, FL)
- …Care leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the ... of four (4) years of related experience + Experience in a Medicare Advantage, Hospital Systems and/or risk-based healthcare organization, preferred We're ChenMed and… more
- Otsuka America Pharmaceutical Inc. (Concord, NH)
- …contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B, and the changing ... market landscape + In-depth knowledge of patient access, launch excellence, marketing and business processes + Strong government pricing knowledge and experience + Strong financial acumen, forecasting, and modeling abilities + Proven ability to navigate… more
- Nestle (Bridgewater, NJ)
- …grocery, drug, and/or mass retail channel(s) is required. + Knowledge of the Medicare Advantage business model preferred. + Experience in consumer goods and health & ... market share for the company and its customers. + Knowledge of the Medicare Advantage business model preferred. **SKILLS:** + Ability to manage multiple priorities… more