- Henry Ford Health System (Troy, MI)
- …to investigate, analyze, and resolve issues at a high level. + Knowledge of Medicare , Medicaid , Medicaid OPPS reimbursement, and other third- party billing ... rules/coverage, preferred. + General understanding of the hospital revenue cycle. CERTIFICATIONS/LICENSURES REQUIRED: + Coding Credential (CPC, COC, CCA, CCS, RHIT) or Clinical Credential (RN, NP, PA) preferred. Additional Information + Organization: Corporate… more
- Fallon Health (Plymouth, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE (Program of All-Inclusive Care for the ... to Care** + Depending upon the product, generates requests and authorizations for Medicaid covered services per the member care plan ensuring all services requiring… more
- Preferred Home Care of New York (Brooklyn, NY)
- …Office who understands the regulations governing the home care field, related to Medicare , Medicaid and other insurance, and is committed to excellence in ... on services we provide + Send referral to MLTC for potential enrollment or Medicaid assistance + Send referral to appropriate CHHA for skilled services + Determine… more
- Ochsner Health (New Orleans, LA)
- …Advanced knowledge of managed care and public programs such as those funded by Medicare , Medicaid , Medicare Advantage, and commercial insurance plans. + ... Proficiency in using computers, software, and web-based applications. + Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. +… more
- Ochsner Health (New Orleans, LA)
- …Advanced knowledge of managed care and public programs such as those funded by Medicare , Medicaid , Medicare Advantage, and commercial insurance plans. **Job ... Duties** * Interviews and assesses patients and assists throughout patient care plan. * Identifies and provides helpful resources to patients and families. * Maintains patient records and documents and communicates critical information to the medical team. *… more
- Humana (Lincoln, NE)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains… more
- Humana (Frankfort, KY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... administrative expenses and quality/bonus performance + Comprehensive knowledge of Medicare policies, processes and procedures **Additional Information** This role… more
- Walgreens (San Francisco, CA)
- …the billing and submission of claims to government-sponsored health care programs, including Medicare , Medicaid , and all other third-party payers, as well as the ... bodies and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare , accreditation bodies, compounding, FDA, etc.). + Complies with all federal… more
- Evolent (Helena, MT)
- …under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Evolent (Helena, MT)
- …under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action by a state medical… more