- State of Indiana (Evansville, IN)
- …Commission as an Inpatient Psychiatric Hospital as well as Centers for Medicare & Medicaid Services certification as a Psychiatric Medicare /Medicaid Hospital. ... holidays, 14 on election years + Education Reimbursement Program + Group life insurance + Referral Bonus program + Employee assistance program that allows for… more
- Essentia Health (Superior, WI)
- …medications dispensed to patients under PAP; supporting clinical criteria needed for accurate Medicare Part B billing for EH retail pharmacies; training of new staff ... Associates with clinical questions when submitting prior authorization, verifying Medicare prescription eligibility, and applying for patient assistance + Optimize… more
- McLaren Health Care (Flint, MI)
- …Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana ... Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/...+ Physician office experience. + Experience and knowledge of Medicare , HMO, PPO, TPA, PHO and Managed Care functions… more
- AccentCare, Inc. (Jackson, MS)
- …in dealing with a variety of payors in healthcare, eg, Medicare , Medicaid, and commercial payers, preferred. Responsibilities: + Collaborates and maintains ... EMR portal. + W here applicable, reviews Eligibility Alerts and Responses for Medicare Clients. + Requests, H&P, Discharge Summary, and other documents needed for… more
- Kelsey-Seybold Clinic (Webster, TX)
- …insurers to offer value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Ventura County (Ventura, CA)
- …Flexible Credit Allowance: Biweekly contribution towards medical, dental, and/or vision insurance from authorized plans. + Pension Plan: Participation in the ... not limited to: The Joint Commission, Department of Health Services, Centers for Medicare & Medicaid Services, and Department of Managed Health Care; + Educates… more
- US Tech Solutions (May, OK)
- …based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians ... for clinical information. **Skills:** + MUST HAVE MANAGED CARE exp and Medicare /Medicaid knowledge. + MUST HAVE 6 months of experienced with Prior… more
- AbbVie (San Juan, PR)
- …regulations, and risk mitigation strategies. + Comprehensive understanding of Commercial, Medicare / Medicare Platino and Medicaid dynamics + Strong knowledge of ... package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. + This job is eligible to… more
- Trinity Health (Boise, ID)
- …is required. Experience in case management, home health, and/or insurance industry preferred. **ESSENTIAL FUNCTIONS** : Knows, understands, incorporates, and ... Delivers Condition Code 44 letters to patients and educates them on Medicare benefits. Researches and locates resources for patients for example: assistance in… more
- Kelsey-Seybold Clinic (The Woodlands, TX)
- …insurers to offer value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more