- Delhi Rehabilitation (Delhi, NY)
- …accordance with established acceptable time frames + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the ... progress notes and re-certifications per facility policy. + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State… more
- University of Miami (Miami, FL)
- … Secondary Payer Questionnaire (MSPQ) process in accordance with Centers for Medicare & Medicaid Services (CMS) Federal regulations.12. Reviews and processes ... information with discretion, maintaining confidentiality of all laboratory information according to laboratory policy.13. Supervises the daily activities of the Laboratory Accessioner personnel. Seeks feedback from the team and physicians in identifying… more
- Humana (Atlanta, GA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Certified Risk Coder (CRC) + Experience interacting with healthcare providers + Medicare Risk Adjustment knowledge + Analyzing data to build unique education… more
- University of Miami (Miami, FL)
- …of scheduling prior to services being rendered and in accordance with Centers for Medicare & Medicaid Services (CMS) Federal regulations, as needed. + Reviews ... and processes information with discretion, maintaining confidentiality of all laboratory information according to laboratory policy. + Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and… 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
- Truman Medical Centers (Kansas City, MO)
- …+ Knowledge of insurance company, third-party and government reimbursement programs; ie Medicare , Medicaid , MC+, etc. + Knowledge of medical insurance billing ... and software systems, programs and devices. + Expert level knowledge of Medicare rules and Local Carrier Determination (LCD) and national Correct Coding Initiative… more
- Gentiva (Jackson, MI)
- …and external providers + Ensure adherence to hospice industry regulations including Medicare , Medicaid , JCAHO, ACHC **About You** **Qualifications - What You'll ... Manage clinical and administrative workflows, including referrals, DME pickups, Medicare eligibility, insurance verification, and patient benefit tracking +… more
- Humana (Louisville, KY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... with members over the phone to assess eligibility for programs like the Medicare Savings Program. + Collect and input personal and financial information into… more
- Humana (Nashville, TN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... 2+ years SQL experience, or equivalent skillset **Preferred Qualifications** + Medicare Advantage background + Creative, high degree of self-accountability +… more
- Humana (San Juan, PR)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Preferred Qualifications** + Associate's or Bachelor's Degree + Prior experience with Medicare + 1+ years of grievances and appeals experience + Previous inbound… more