- Humana (Helena, MT)
- …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an… more
- AmeriHealth Caritas (Detroit, MI)
- …us at www.amerihealthcaritas.com. **Role Overview: ;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care ... role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines,...competitive pay, paid time off, holidays, volunteer events, health insurance coverage for you and your dependents on Day… more
- MVP Health Care (Schenectady, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a ** Medicare Field Sales Representative** to join #TeamMVP. This is the opportunity for ... of education and related experience. + Active NYS Accident & Health Insurance License (must maintain continuous licensure). + Valid driver's license and access… more
- Actalent (Little Ferry, NJ)
- …offices. + Utilize the Bright Tree System to navigate NJ HMO websites, commercial insurance portals, and Medicare systems. + Contact insurance providers to ... experience. + Medical knowledge. + Data entry skills. + Insurance knowledge. + Experience with Medicare , Medicaid,...skills. + Insurance knowledge. + Experience with Medicare , Medicaid, and private insurance verification. +… more
- Robert Half Accountemps (Manhattan Beach, CA)
- …Specialist will play a pivotal part in ensuring providers are properly credentialed with Medicare and commercial insurance plans. The right person must be strong ... * Credentialing processes for 12-13 healthcare providers, ensuring compliance with Medicare and commercial insurance requirements. * Prepare and submit… more
- Union Hospital Health Group (Terre Haute, IN)
- …+ Discuss Advanced Beneficiary Notice (ABN) with patients as it applies to their Medicare insurance coverage. + Prepare and distribute specimens in a timely ... manner for in-house testing and for referral to reference laboratories according to laboratory policy and procedure. Preparation includes verification of specimen ID and labeling, centrifugation, pour off, storage, routing to other clinic laboratory locations,… more
- Avera (Milbank, SD)
- …compliance plan. + Ensures the department's practices and documentation meet local, state, Medicare , insurance , payer requirements as well as agency policy. + ... Plans and leads various agency activities and meetings including staff meetings, facility function groups and customer service programs. + Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and… more
- Hunterdon Health Care System (Flemington, NJ)
- …experience preferred. Recent acute care nursing experience preferred. Knowledge about Medicare / Insurance regulations. The ideal candidate must possess effective ... verbal and written communication skills, confidence in dealing with others and the ability to work well with many different disciplines, at various levels of authority. CPR and IV Skills. Previous Home Health care experience is preferred. Valid Driver's… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
- McLaren Health Care (Flint, MI)
- We are looking for a Quality Administrator Medicare , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/… more