- Dartmouth Health (Lebanon, NH)
- …counsels the patient in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator also has ... of insurance coverage to best meet their individual needs, ie, COBRA, Medicare /Medicaid eligibility, Medicare Supplemental Plans, and Medicare Advantage… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Master ... with the established polices & procedures of the Data Governance Office (DGO), Compliance , Legal and Security departments to meet business needs. The MDM Analyst… more
- Tufts Medicine (Melrose, MA)
- …indicatean appropriate hospice referral. Presents the advantage of the hospice Medicare /Medicaid benefits to referral sources. + Thoroughly understands the ... Medicare /Medicaid hospice benefit, the Medicare home health...services. Includes activities during National Hospice Month. + Reports Compliance concerns to the CEO or Chief Compliance… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Supports corporate and ... lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment… more
- The Cigna Group (St. Louis, MO)
- **Product Management Senior Advisor - Medicare Solutions, Express Scripts** **Description of Position:** + The Product Management Senior Advisor provides leadership ... will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) regulations, lead implementation of enhancements, provide… more
- Humana (Greenwood, IN)
- …care team staff to address the member's identified needs + Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as ... and benefits of members who are also eligible for Medicare . + Primary point of contact for the Interdisciplinary...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Hartford HealthCare (Bridgeport, CT)
- …all supporting documentation is present. Provides education to staff to ensure compliance with Centers for Medicare and Medicaid Services (CMS) guidelines. ... timely IRF-PAI completion. Oversees the development of tools that assist in compliance and quality reporting for the Inpatient Rehab Unit (IRU). *Responsibilities* *… more
- Geisinger (Danville, PA)
- …Performs coverage analysis for clinical studies, including billing determination review and Medicare coverage analyses to ensure regulatory compliance . + Creates ... processes. + Maintains active partnerships with the Office of Research Compliance , IRB Operations, Research Finance, Insurance Risk Services Corporate Office,… more
- Catholic Health Initiatives (Fargo, ND)
- …knowledge of nursing standards of care. + Comply with HIPAA regulations. + Ensure compliance with Centers for Medicare and Medicaid Services (CMS) guidelines. + ... Director of Health Services, providing comprehensive medical support and ensuring compliance with all relevant regulations and standards. This position requires a… more
- Des Moines University (Des Moines, IA)
- …developing and managing and expense budgets required. + Knowledge of applicable compliance issues, such as Medicare , Medicaid and commercial billing ... and procedures. + Maintain overall accountability for operational budgets. + Monitor compliance with all applicable local, state, and federal regulations. + Build… more