- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …submit to insurance companies in a timely manner. + Perform follow-up with Medicare , Medicaid , Medicaid , Managed Care, and Commercial insurance companies ... Paso **Preferred Qualifications:** + Associate's degree preferred. + Understanding of Medicare , Medicaid eligibility requirements and commercial insurance payer… more
- Humana (Salem, OR)
- …or existing environment while minimizing disruption and mitigating risks + Experience with Medicare and/or Medicaid + Ability to coordinate with development and ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- SSM Health (WI)
- …+ Provides all government reimbursement services as assigned, including preparation of Medicare & Medicaid Cost Reports, Tricare Cost Reports, Wage Index, ... as directed by CMS. + Keeps updated on changes in Medicare & Medicaid compliance requirements. Participates in available training, including webinars and on-line… more
- Healthfirst (NY)
- …Qualifications** + **Work experience within the healthcare industry** + **Experience with Medicare or Medicaid managed care plan products such as, Family ... complete outbound calls according to approved scripts.** + **Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes.** + **Searches in Marx (CMS)… more
- Humana (Springfield, IL)
- …+ 2+ years of experience of in-home case/care management + Experience with Medicare / Medicaid members. + Experience with health promotion, coaching, and wellness. ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Indianapolis, IN)
- …and social service agencies and additional community resources + Prior experience with Medicare & Medicaid recipients **Work from Home Statement** To ensure Home ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- University of Utah (Salt Lake City, UT)
- …legal documents + Participate in quality improvement activities + Meet qualifications for Medicare , Medicaid , and similar programs + Maintain valid Utah medical ... suspension or revocation + Must meet qualifications for participation in Medicare , Medicaid , and similar programs + Must practice medicine consistent with… more
- Humana (Richmond, VA)
- …experience. + Understanding of the Cardinal Care Contract + Experience serving Medicaid , Medicaid / Medicare , TANF, and/or CHIP populations. + Previous ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- CenterWell (Austin, TX)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare / Medicaid Experience a plus + Current nursing ... experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity +… more
- AmeriHealth Caritas (Columbus, OH)
- …agencies. **Other Skills: ;** + Health care industry and/or Medicare / Medicaid /Pharmacy/Behavioral Health/Pharmacy Benefit Management knowledge required. + ... in claims adjudication standards & procedures preferred. + Solid knowledge of Medicaid , Medicare , and pharmacy benefit laws and requirements; federal, state,… more