- Providence (Beaverton, OR)
- …them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide care coordination, case management and ... Audits, Appeals or Delegation) + Experience working in a health plan, medical insurance plan or another similar work environment + Current nursing experience in the… more
- BlueCross BlueShield of North Carolina (NC)
- …impact patient outcomes and business performance-whether it's designing innovative insurance products, optimizing pricing strategies, or evaluating advanced care ... 9 years of relevant actuarial experience. **Bonus Points** + Experience in Medicare Advantage Risk Adjustment highly preferred **What You'll Get** + The opportunity… more
- Care Initiatives (Waterloo, IA)
- …office functions, including Accounts Receivable (AR), Accounts Payable (AP), resident billing, Medicare /Medicaid , and insurance claims . + Maintain accurate ... and collections in a healthcare or long-term care setting. + Familiarity with Medicare , Medicaid, and insurance reimbursement processes . + Strong organizational… more
- WesleyLife (Johnston, IA)
- …billing regulations and implement necessary process changes for compliance. + Understand Medicare and Commercial Insurance for co- insurance calculations, ... cash posting, and collections. + Handle delinquent accounts and resolve credit balances. + Maintain confidentiality of client and organizational information. + Collaborate with various stakeholders including providers, finance staff, auditors, and state… more
- AdventHealth (Altamonte Springs, FL)
- …to comply with federal, state, and local guidelines, as well as Medicare , Medicaid, and insurance reimbursement requirements. + Provides overall direction ... who are non-admitted, discharged, or have revoked the Hospice Medicare Benefit, and ensures tracking and monitoring of changes...+ Valid in state Drivers License with current car insurance **Preferred qualifications:** + Bachelor's of Nursing, + 2… more
- Medtronic (Minneapolis, MN)
- …+ Provide updates as well as strategies to address changes in the US Medicare , Medicaid and commercial insurance systems, as well as other key country ... endovascular aortic repair therapies, included US commercial, Medicaid and Medicare Advantage programs, working closely with cross-functional colleagues, including… more
- Highmark Health (Montgomery, AL)
- …experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care experience + 2 years of ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- Centene Corporation (New York, NY)
- …auditing, project management, or business analysis experience, preferably within the Medicare field. Previous experience coordinating cross functional teams on large ... Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off… more
- HCA Healthcare (El Paso, TX)
- …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, ... + **Additional benefits** for fertility and family building, adoption assistance, life insurance , supplemental health protection plans, auto and home insurance ,… more
- HCA Healthcare (Anchorage, AK)
- …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more