- Houston Methodist (Houston, TX)
- …care payers include commercial payers, separate transplant contracts, Medicare Advantage, Medicaid Health Maintenance Organizations (HMOs), International, behavioral ... health, worker's compensation, student insurance , bundled payment contracts, quality metric bonus program and risk contracts. The Director position responsibilities… more
- CenterWell (Norfolk, VA)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... improving consumer experiences **Preferred Qualifications** + Knowledge of Medicaid and Medicare programs + Excellent oral and written communication skills + Good… more
- Dignity Health (Chandler, AZ)
- …Relocation allowance for applicable physicians + CME benefits + Excellent malpractice insurance + Faculty appointment at Creighton University School of Medicine at ... Leapfrog Group. MGMC was given a 5 star overall Medicare rating while CRMC received a 4 star Medicare rating. DHMG-IM Chandler is a 17 exam room, ultra-modern… more
- New York State Civil Service (Buffalo, NY)
- …a generous benefits package including:* NYS medical, dental, & vision insurance * Access to tuition assistance programs* Excellent opportunities for advancement & ... rate ($52,413) and Geographic Pay Differential ($4,000). NOTE:Medicaid and Medicare : In order to be eligible for appointment and...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- UCLA Health (Santa Monica, CA)
- …Collection of accurate demographic information, review and interpretation of insurance benefits + Obtaining prior authorizations, cash collections, interaction with ... public assistance programs (ie Medi-Cal, CCS) + Implementation of Medicare requirements, interaction with physicians/office personnel as well as other hospital… more
- Point32Health (MA)
- …include experience utilizing an appeals & grievances software platform. Prior A&G Medicare experience. + Preferred: **Skill Requirements** + High attention to detail ... Office Suite (ie, Excel, Word, Outlook). + Knowledge of Medicare Part B, C & D including HIPAA and...+ Paid time off + Employer-paid life and disability insurance with additional buy-up coverage options + Tuition program… more
- MedKoder (Mandeville, LA)
- …and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare , Medicaid, and third-party payer guidelines to ensure receipt of ... guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services. +...* 401K and Profit Sharing * STD, LTD, Life Insurance , and FSA Program * Paid AAPC and AHIMA… more
- Ellis Medicine (Schenectady, NY)
- …with patients, families, caregivers, interdisciplinary team members, external agencies, insurance companies as needed to effectively execute discharge planning ... + Assures completion of discharge forms, ie Important Message from Medicare , PRI, and transportation within established timeframes and according to state/federal… more
- Ellis Medicine (Schenectady, NY)
- …in the chart. Assists Case Manager with medication prior authorizations. Provides Medicare Important Message to Medicare beneficiaries per CMS Conditions of ... MIDAS per policy. Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals. * Denial Management Activities; Assists… more
- Kelsey-Seybold Clinic (Shenandoah, 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