- Highmark Health (Harrisburg, PA)
- …adjudication. + ICD9, CPT, HPCPS coding knowledge/experience. + Knowledge of Medicare and Medicaid policies **LICENSES or CERTIFICATIONS** **Required** + None ... **Preferred** + None **SKILLS** + Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services + Knowledge of administrative and clerical procedures and systems such as… more
- Molina Healthcare (Lexington, KY)
- …with operations leadership and Plan Support functions to review compliance -based issues for benefit planning purposes. **KNOWLEDGE/SKILLS/ABILITIES** + Maintains ... + Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). +… more
- UCLA Health (Los Angeles, CA)
- …units on revenue cycle systems, processes and procedures + Maintain compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing ... Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare /Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim… more
- The County of Los Angeles (Los Angeles, CA)
- …where necessary. + Formulates policies and procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations ... and technical direction at the level of Health Program Analyst III. A Master's degree in Psychology, Social Work,...and selecting new staff, and performance management. Health Program Analyst IIIis defined as supervising a team of analysts… more
- State of Colorado (Pueblo, CO)
- …for 10 staff members, including direct supervision of 3 individual units: Medicare /Other Insurance, Medicaid/Self- pay, and Audit, including 3 professional staff, 6 ... as they pertain to patient benefits and revenue for the Hospitals, Medicare , Medicaid, and Fiduciary Duties. + Interprets, analyzes, and keeps apprised of… more
- The County of Los Angeles (Los Angeles, CA)
- …where necessary. Formulates policies and procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid ... and technical direction at the level of Health Program Analyst III**. A Master's degree in Psychology, Social Work,...and selecting new staff, and performance management. **Health Program Analyst III is defined as supervising a team of… more
- The County of Los Angeles (Los Angeles, CA)
- …representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician ... review requirements, the impact of the requirements, and procedures to be implemented for compliance , as needed. + As a unit supervisor at the LA General Medical… more
- The County of Los Angeles (Los Angeles, CA)
- …criteria, and for certification of approved hospital days reimbursable under the Medicare and MediCal programs. Essential Job Functions + Plans, develops, and ... to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement. + Confers with physicians, administrative personnel, and other… more
- Lac Vieux Desert Northern Waters Casino Resort (Watersmeet, MI)
- …Patient Benefits Navigator LOCATION: LVD Health Center, Watersmeet, MI SUPERVISION: Data Analyst EMPLOYMENT: Full Time - Non-Exempt SALARY/PAY RATE: $18.26 - $23.55 ... * Assist patients in obtaining and maintaining health insurance, working with Medicare , Medicaid, private insurers, and social service agencies. * Monitor PRC… more
- The County of Los Angeles (Los Angeles, CA)
- …nursing facilities, and related health facilities to assist them in achieving compliance with State and Federal nursing regulations, and with the professional staff ... special studies, and critical reviews of clinical practices and process, to assess compliance with regulatory and legal mandates. + Collects data necessary for the… more
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