- Molina Healthcare (Bellevue, OH)
- …licensed for the state of OHIO. This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position will have a case load ... assessments of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case… more
- HCA Healthcare (Mcallen, TX)
- …of specimen through sample analysis and reporting of results. + Ensures enrollment in proficiency testing program commensurate with the services offered. + ... Participates in preparation of the Laboratory for CAP and JCAHO Medicare inspections. + Verifies the validity of patient test results through the evaluation of… more
- Molina Healthcare (Clinton Township, MI)
- …license (RN) in the state of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Community Well team. This position will have a ... assessments of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case… more
- Trinity Health (Livonia, MI)
- …data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, ... revenue cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors. Ability… more
- WelbeHealth (Riverside, CA)
- …Medicine, Family Medicine, Emergency Medicine or Geriatrics. Must be eligible for enrollment to provide services to Medicare and Medi-Cal participants. Board ... certification preferred. If you're ready to join a healthcare team that values both its patients and its providers, we'd love to hear from you. **Apply now or contact our recruiter directly to receive detailed information about the position and begin the… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …deadlines, with minimal supervision. + Three years credentialing/medical staff /payor enrollment related experience or degree in Medical Staff Services Management in ... town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It is recognized for excellence in… more
- Martin's Point Health Care (Portland, ME)
- …of each line of business within Martin's Point Health Care, including Medicare Advantage, US Family Health Plan (USFHP). + Demonstrates advanced knowledge of ... enrollment / disenrollment guidelines, claims processing and plan benefits necessary to exercise decision-making authority to reprocess claims in accordance and… more
- CVS Health (Passaic, NJ)
- …medical daycare, personal care assistance, nursing facility placement, and MLTSS enrollment . + Collaborate with members, caregivers, primary care providers, and ... discharge planning experience + Managed Care experience + Medicaid and Medicare experience + Experience using computer, keyboard, mouse, multi-system navigation; and… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …coverages. + Submit Verbal Attestation on behalf of member for Late Enrollment penalties(LEP) + Displays positive demeanor, technical accuracy, and conformity to ... Benefits: + Work from home Experience: + Customer service: 3 years (Preferred) + Medicare : 1 year (Preferred) About Us WHO WE ARE Convey Health Solutions manages a… more
- Humana (Montpelier, VT)
- …Solid understanding of healthcare operations, particularly around claims processing, enrollment , provider data management and clinical operations; Medicaid preferred ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more