- McLaren Health Care (Grand Blanc, MI)
- …customer service, software management, and tracking responses to the Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC), Medicare ... facility claims. 3. Provides leadership for audit staff with training, compliance reviews, regulatory guidance, work distribution, and monitoring of accounts… more
- J&J Family of Companies (Baltimore, MD)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance with the ... highest ethical, legal, and compliance standards, including timely and successful completion of all...payer approval processes and business acumen. + Understanding of Medicare , Medicaid, and private payer initiatives affecting reimbursement of… more
- UPMC (Pittsburgh, PA)
- …individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid. To provide service coordination services across the continuum of ... that OPS reporting is completed per regulatory deadline and compliance requirements. + Responsible for performing profession-level administrative duties involving… more
- Great River Health (Mount Pleasant, IA)
- …assists patients with financial assistance applications. Additionally, the Coordinator ensures compliance with the No Surprise Billing Act by coordinating and ... programs. + Coordinate and provide Good Faith Estimates for patients in compliance with the No Surprise Billing Act, ensuring cost transparency and adherence… more
- Nevada County (Grass Valley, CA)
- …for assessments and treatment plans. + Ensures documentation meets clinical and compliance standards. + Offers clinical direction during daily huddles and weekly ... closely by a supervisor or senior employee to ensure compliance with proper procedures. + I have performed this...services. 12 This position requires the ability to bill Medicare for client services. Are you currently able and… more
- J&J Family of Companies (Detroit, MI)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance with the ... highest ethical, legal, and compliance standards, including timely and successful completion of all...payer approval processes and business acumen. + Understanding of Medicare , Medicaid, and private payer initiatives affecting reimbursement of… more
- Sutter Health (Sacramento, CA)
- …developer for ambulatory regulatory programs required by the Centers for Medicare and Medicaid Services (CMS), including the Merit-based Incentive Payment System ... (MIPS) and Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO)...latest CMS regulatory rules and data reporting requirements, ensuring compliance with all updates and revisions. Transforms regulatory program… more
- UPMC (Pittsburgh, PA)
- …for Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare , Medicaid, or require a nursing facility level of care. The CHC Service ... to OPS reporting completed per regulatory deadline and that compliance requirements. + Responsible for performing profession-level administrative duties involving… more
- J&J Family of Companies (Dallas, TX)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). . Execute business in accordance with the ... highest ethical, legal, and compliance standards, including timely and successful completion of all...payer approval processes and business acumen. . Understanding of Medicare , Medicaid, and private payer initiatives affecting reimbursement of… more
- Option Care Health (Nashville, TN)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...operations and communications and ensures the office remains in compliance with all regulating and accreditation entities. Complies with… more