- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …health diagnoses, treatments, and psychotropic medications + Knowledge of Medicaid, Medicare , and/or commercial insurance policies + Demonstrates commitment to ... + Authorize services and coordinate referrals based on clinical guidelines and insurance coverage. + Provide telephonic and/or in-person case management and member… more
- Continuing Healthcare Solutions (Cleveland, OH)
- …facility Business Office staff. This position will have responsibility for billing Medicare , Medicaid and/or Commercial insurance . This position will also audit ... business office is preferred + Prior SNF biller experience of Medicare , Medicaid and Insurance experience preferred + Experience with PCC and RFMS is preferred… more
- Nestle (Bridgewater, NJ)
- …healthcare market dynamics, including reimbursement models and payer landscapes (Medicaid, Medicare , and private insurance ). By negotiating and executing ... Deep understanding of healthcare trends, Healthcare Reform, Reimbursement, and Payer Sources ( Medicare , Medicaid, Private Insurance ) + Experience with Med B… more
- University of Colorado (Aurora, CO)
- …management. + Healthcare Industry Knowledge: Understanding of payment reform, Medicare , Medicaid, private insurance regulations, and healthcare operations. ... reporting to leadership and the board. + Coordinates and submits annual Medicare and Medicaid cost reports, quarterly audit and reporting requirements, and… more
- PeaceHealth (Springfield, OR)
- …agency experience and + Preferred: Knowledge of community resources, knowledge of Medicare , Medicaid and insurance requirements as these relate to continuing ... therapy, and treatment of co-occurring disorders Peace Harbor: + Must qualify for Medicare provider number which allows for billing counseling services. + LCSW with… 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
- Providence (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
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Insurance Specialist, GS-0107-13, you will perform work related to nat'l health insurance programs, such as Medicare , Medicaid, the Children's Health ... is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare , Center for Medicare… more
- CareFirst (Baltimore, MD)
- …for use in a variety of actuarial analyses that may include Medicare bid pricing, financial forecasts, trend analysis, experience analysis, provider contract ... addition to the required work experience. **Experience:** 2 years health insurance actuarial experience **Preferred Qualifications:** + Passage of 2 exams.… more
- BroadPath Healthcare Solutions (Longview, WA)
- …become eligible for placement with UnitedHealthcare, a national leader in healthcare insurance **Compensation Highlights** + Competitive pay at **$21 per hour** + ... training **Responsibilities** **What You'll Do** + Answer inbound calls and guide Medicare -eligible individuals through plan options + Build trust and rapport with… more