- Banner Health (AZ)
- **Department Name:** Compliance **Work Shift:** Day **Job Category:** General Operations **Estimated Pay Range:** $27.72 - $46.20 / hour, based on location, ... Plans & Networks (BPN) is an integrated network for Medicare , Medicaid, and private health plans. Known nationally as...experience and skills to BPN. As a Health Plan Compliance Auditor, your primary responsibility is to conduct audits… more
- TEKsystems (San Diego, CA)
- …applications, and guide patients through eligibility and plan details. + Ensure compliance with HIPAA, Medicare , and Medi-Cal regulations. + Provide exceptional ... assist patients with benefit inquiries, eligibility, insurance coverage, and Medicare /Medi-Cal redetermination. This is a high-volume, fast-paced environment where… more
- Bear Mountain Health Care (Worcester, MA)
- …Monitoring and auditing clinical records, ensuring accuracy & timeliness + Must be in compliance with MDS / Medicare protocols and policies. + Informing DON and ... + One year of Long-term care experience + Experience with Medicare /Medicaid reimbursement, MDS completion, clinical resources utilization, and/or case management is… more
- Hartford HealthCare (Middletown, CT)
- …for securing payment arrangements for all lines of services. * Ensures compliance with completed Medicare Secondary Payer questionnaire for all pre-scheduled ... HIPAA Privacy Notice, Patient Rights and Responsibility Notice, ABN and Medicare letter (when applicable). * Participates in departmental meetings and contributes… more
- Bear Mountain Health Care (East Longmeadow, MA)
- …Monitoring and auditing clinical records, ensuring accuracy & timeliness + Must be in compliance with MDS / Medicare protocols and policies. + Informing DON and ... + One year of Long-term care experience + Experience with Medicare /Medicaid reimbursement, MDS completion, clinical resources utilization, and/or case management is… more
- AdventHealth (Altamonte Springs, FL)
- …allied health practitioners, nursing, and care management. This includes quarterly compliance updates from Medicare . + Effectively and appropriately communicates ... with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and quality physician… more
- Prime Therapeutics (Boise, ID)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is ... execution of the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business with internal… more
- Teresian House (Albany, NY)
- …Ensuring accurate and timely billing of all services rendered to residents in compliance with NYS Medicaid, Medicare , Mafae Care Organizations (MCO's) and ... other electronic systems daily. + Preparing and submitting timely billing for Medicare , MCO's, Medicaid and private insurers using electronic and payer formats.… more
- WellLife Network (Smithtown, NY)
- …denials, and payment delays. + Monitor staff documentation practices to ensure compliance with Medicaid, Medicare , and private insurance billing requirements. + ... staff productivity, stabilizing program finances, growing service capacity, and ensuring compliance with all regulatory and licensing bodies, including the NYS… more
- Option Care Health (Bannockburn, IL)
- …Medicare /Medicaid reimbursement. + Experience evaluating information to determine compliance with policies, standards, laws, and regulations. + Intermediate level ... nursing compliance programs. + Direct experience applying knowledge of Medicare , Medicaid, and Managed Care reimbursement guidelines. + Proficiency with audit… more