- Penn Medicine (Lancaster, PA)
- …in the area of specialty + A healthcare provider in good standing with Medicare , Medicaid , and other federal and state health insurance programs, ie not ... excluded from participation in Medicare , Medicaid or any other federal or state health insurance program. **Clinical Nurse Specialist Fellow Minimum Required… more
- University of Rochester (Rochester, NY)
- …create barriers to access for patients. Remains knowledgeable of private payer, Medicare , and Medicaid structure systems and reimbursement processes. Respond to ... individual providers, as well as University of Rochester groups, with Medicare and Medicaid as required each cycle. + Completes new enrollments of APP's… more
- Spokane County (Spokane, WA)
- …System for Award Management (SAM) excluded provider, in any capacity for the Medicare , Medicaid , and all Federal healthcare programs. + Must successfully pass ... for eligible individuals whose behavioral health services are funded with non- Medicaid funds. + Tracks and monitors applicable inpatient readmissions within sixty… more
- Humana (Augusta, ME)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... our caring community and help us put health first** This role supports Medicaid state reporting initiatives for its managed care operations across multiple states.… more
- Merck (Boise, ID)
- …on how the products are covered under the benefit design (Commercial, Medicare , Medicaid ) * Answer questions about coverage, including payer-specific access ... matter expert on access and affordability challenges across various payer types, including Medicare , Medicaid , and commercial plans * Educate and update HCPs on… more
- CVS Health (Atlanta, GA)
- …able to manage multiple health plan clients across multiple lines of business including Medicare , Medicaid , Exchange, and Commercial. This is a remote role, open ... + Demonstrated understanding of CVSH clinical portfolio, marketplace segments dynamics ( Medicare , Medicaid , Exchange, and or Commercial) and industry trends… more
- Intermountain Health (Harrisburg, PA)
- …alignment with ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics ... AND Demonstrated knowledge of government benefits and regulations related to Medicare , Medicaid or the ACA. AND Demonstrated knowledge of queries. **_Preferred… more
- Somatus (Falls Church, VA)
- …role). + Educate patients on their insurance options including Group Health Plans (GHPs), Medicare , Medicaid , and managed care plans. Serve as a liaison between ... demeanor. + Maintains a customer/client focus. + Strong understanding of insurance, Medicare , Medicaid , patient payment processes. + Strong interpersonal skills… more
- Sunrise Senior Living (Fort Belvoir, VA)
- …monthly Profit and Loss (P&L) Summary reporting, balance sheet account reconciliations, Medicare / Medicaid billing and adherence to Sunrise Senior Living business ... and collections of accounts receivables; develop effective working relationships with Medicare / Medicaid billing office to resolve claims and obtain timely… more
- Serco (Herndon, VA)
- …in federal health program implementation (particularly the Health Insurance Marketplace, Medicare , Medicaid and/or CHIP), program improvement and innovations, ... and processes, or other federal health programs (such as Medicaid , Children's Health Insurance Program or Medicare )...as Medicaid , Children's Health Insurance Program or Medicare ) and private health insurance industry. + Experience in… more