- Catholic Health Initiatives (Bismarck, ND)
- …and managing prescription filing and reconciliation according to legal requirements. + ** Compliance Champion:** Completing annual FWA training for Medicare Part ... B and Part D, and participating in dispensing for Medicare recipients. If you're ready to make a significant impact, grow your skills, and contribute to a team that… more
- Point32Health (MA)
- …areas of opportunity for the A&G department to reduce the risk of non- compliance with appeals and grievance requirements. These can include, but are not limited ... include experience utilizing an appeals & grievances software platform. Prior A&G Medicare experience. + Preferred: **Skill Requirements** + High attention to detail… more
- WMCHealth (Hawthorne, NY)
- …and set up accurately with contracted payers. Work is performed in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare ... Medical Staff Office by identifying, initiating, monitoring, and maintaining Medicaid and Medicare enrollment requirements. + Ensure proper attention is given to all… more
- Ellis Medicine (Schenectady, NY)
- …as well as, the high risk population, chronic medical problems, non- compliance issues, interdisciplinary and/or patient, family, requests + Participates in ... planning needs + Coordinates acute hospital to hospital transfers to ensure compliance with all the discharge planning regulations and transfer policy + Provides… more
- Aveanna Healthcare (Clark, NJ)
- …appropriateness of services - Monitor staffing patterns of all patients - Ensure compliance with Nurse Practice Act - Evaluate and supervise staff based on mutually ... and professional boundaries at all times - Knowledge and understanding of compliance with adherence to regulations - Ability to comfortably work with families… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …adviser for legislative, regulatory, and public policy initiatives impacting Medicare , Medicaid, and government programs. Working closely with internal business ... and work teams to assist in the development of products, legal and compliance , and financial analysis of legislative and regulatory requirements. * Uses policy and… more
- New York State Civil Service (Jamaica, NY)
- …projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews, and ... revenues.* Reviews financial ledgers and accounts to ensure accuracy and compliance with accepted financial principles, regulatory requirements, and to ensure… more
- Banner Health (AR)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment ... ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers… more
- Bluestone Physician Services (Stillwater, MN)
- …including the ability to manage multiple projects simultaneously. + Understanding of compliance and marketing and Centers for Medicare & Medicaid Services ... (ACO) was the best performing ACO in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured by the overall savings per … more
- Covenant Health Inc. (Knoxville, TN)
- …the ability to accurately submit claims in all payer categories, ie, Medicare , TennCare, Blue Cross, Commercial, and Managed Care. This position assists the ... Demonstrates enhanced knowledge and comprehension of State and Federal regulations, Medicare , TennCare, and other Third-Party Payer requirements to meet regulatory … more