- NTT America, Inc. (Plano, TX)
- …client accounts in ensuring our organization meets its HIPAA and healthcare- compliance -related obligations, including Medicare and Medicaid standards. This role ... and forward-thinking organization, apply now. We are currently seeking a Corporate Compliance Specialist Advisor to join our team in Plano, Texas (US-TX), United… more
- Commonwealth Care Alliance (Boston, MA)
- …enhance the risk adjustment data ecosystem. + Support audit readiness and regulatory compliance for Medicare and Medicaid risk adjustment programs. + Represent ... in SQL, data integration, and systems development are essential. Knowledge of Medicare risk adjustment methodologies is highly desirable. The ideal candidate is a… more
- Walmart (Orlando, FL)
- …on policy changes and new regulations; researching information to accurately process Medicare orders to ensure compliance ; and interpreting and documenting ... documentation; and maintaining a safe and clean work environment. + Complies with Medicare and Medicaid policies and procedures by implementing and adhering to rules… more
- Prime Therapeutics (Lansing, MI)
- …specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM ... operations (eg workflow processes and case management) + Government programs ( Medicare ) knowledge **Preferred Qualifications** + Contact Center experience + Pharmacy… more
- Mount Sinai Health System (New York, NY)
- …outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** ... codes for existing and new services. Assures that updated fee schedules for Medicare , Medicaid, commercial and managed care carriers are correctly entered in the… more
- Always Best Care Senior Services (Honolulu, HI)
- …the individualized plan of care. * Assures continuity and quality of care, including compliance with ACHC, Medicare , and state regulations. * Compliance & ... Responsibilities: * Supervising nursing staff and providing leadership * Ensuring compliance with regulations and standards * Developing and implementing nursing… more
- TEKsystems (San Diego, CA)
- …inbound calls 60-80 calls o Be able to multitask o Understanding HIPPA compliance , Medicare o Multi-line phone experience #westpriority25 Pay and Benefits The ... wellness program requirements. + Document all interactions accurately and maintain compliance with HIPAA and internal privacy standards. + Collaborate with internal… more
- Gentiva (Burlington, NC)
- …* Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) * Knowledge and compassion ... mentor, trainer, and clinical support to associates, supporting development, performance, and compliance * Ensure all care delivery meets federal, state, and local… more
- HonorHealth (AZ)
- …penalties to the patient, health system and physician. Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria. Collaborates with ... Case Management to ensure patient status is correct and documentation is provided to insurances as needed. + Creates and/or updates hospital account. Obtains and enters into hospital information system required patient demographics and insurance information in… more
- HonorHealth (AZ)
- …penalties to the patient, health system and physician. Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria. Collaborates with ... Case Management to ensure patient status is correct and documentation is provided to insurances as needed. + Creates and/or updates hospital account. Obtains and enters into hospital information system required patient demographics and insurance information in… more