- 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
- CenterWell (Port Orange, FL)
- …local primary care "on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in… more
- Surgery Care Affiliates (Long Beach, CA)
- …+ The Insurance Verifier will call each patient as part of center compliance with CMS Conditions for Coverage guidelines in contacting patient's prior to the ... payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form. Financial Orientation: + Calculate… more
- University of Michigan (Ann Arbor, MI)
- …highly motivated Senior Billing Clerk/Patient Account Representative to join our Medicare Advantage Hospital Billing Team. Responsible for accurate claim submission, ... discrepancies and take appropriate corrective action when necessary ensuring compliance + Move payments to accounts ensuring appropriate payment category,… more
- Cognizant (Minneapolis, MN)
- …+ Ensure compliance with industry standards and regulations related to Medicare and Medicaid Claims processing + Conduct regular audits and assessments to ... in Docker Container, Kubernetes, AWS DevOps along with domain experience in Medicare and Medicaid Claims Claims and Payer. **About Cognizant's CIS Practice:**… more