- Novant Health (Winston Salem, NC)
- …inpatient units on procedures performed and the pre/post-care required. + Understand Medicare / Medicaid rules and regulations to determine admission criteria. + ... to coordinating patient testing/screening and setting appointments. Knowledge of Medicare / Medicaid rules/regulations necessary to understand criteria for… more
- Option Care Health (Bannockburn, IL)
- …and abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare / Medicaid reimbursement. + Experience evaluating information to determine compliance ... and/or nursing compliance programs. + Direct experience applying knowledge of Medicare , Medicaid , and Managed Care reimbursement guidelines. + Proficiency… more
- Humana (Santa Fe, NM)
- …Qualifications** + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Commonwealth Care Alliance (Boston, MA)
- …experience required. Required Experience (must have): * 5+ years * Experience with Medicaid and Medicare products and programs * Experience or knowledge of ... making in alignment with clinical licensure. * Strong understanding of Medicare , Medicaid (MassHealth), and dual-eligible program operations, including… more
- Commonwealth Care Alliance (Boston, MA)
- …to learn new systems and databases that CCA implements. * Working knowledge of Medicare and Medicaid (MassHealth) * Familiarity with and full support of ... the demonstrated ability to handle multiple projects. * Strong understanding of Medicare , Medicaid , duals program, and health plan operations, including… more
- Commonwealth Care Alliance (Boston, MA)
- …foster strong, collaborative relationships with provider partners serving dual-eligible ( Medicare - Medicaid ) members. This role ensures providers are ... complex, cross-functional projects and meeting deadlines. + Strong understanding of Medicare , Medicaid , duals program, and health plan operations, including… more
- Covenant Health Inc. (Knoxville, TN)
- …analysis of CPT coding, modifiers and billing processes to ensure compliance with Medicare , Medicaid guidelines and other insurance payers and to maximize ... and out-patient and/or physician practice. Good working knowledge of healthcare billing, Medicare / Medicaid billing guidelines, and other Third Party Payor rules… more
- Penn Medicine (Lancaster, PA)
- …or equivalent experience preferred. + A health care 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. + Equivalent of three 3 years experience as a… more
- Danaher Corporation (Portland, OR)
- …landscape. + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer ... diagnostics (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare , Medicaid ) + Demonstrated and presentation skills Travel, Motor… more
- Penn Medicine (Lancaster, PA)
- …(GED) is required.Equivalent Experience:*A health care 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.*1+ years One (1) to two (2) years of Medical… more