- CenterWell (Phoenix, AZ)
- …+ Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of ... facing and is part of our Tuberculosis (TB) screening program . If selected for this role, you will be...**Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- Hartford HealthCare (Hartford, CT)
- …implements an enterprise-wide risk adjustment coding and documentation education program to support documentation practices among contracted providers that comply ... with CMS risk adjustment program requirements and ICD 10 coding guidelines. The Risk...tools 2. Implements documentation and coding training programs for Medicare Advantage contracted providers. Presents coding and documentation education… more
- University of Colorado (Aurora, CO)
- …+ Establishes and maintains policies and procedures for the sliding fee discount program . + Serves as the approver of procurement card transactions and monthly ... Establishes and maintains policies and procedures for the sliding fee discount program . Conducts quarterly enrollment audits and provides feedback to the ED,… more
- Molina Healthcare (Dayton, OH)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or...or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience… more
- Signature Healthcare (Lexington, KY)
- …choice in the healthcare industry. Overview The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, a love for ... Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare /Medicaid guidelines for all SHC Stakeholders. + Assist with design and… more
- Banner Health (Phoenix, AZ)
- …benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package. Banner Health Network (BHN) is ... preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or… more
- SUNY Upstate Medical University (Syracuse, NY)
- …professionals and medical facilities + Communicate with collaborating physician or specialist regarding patient care Provides exemplary patient care Timely and ... of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible… more
- Molina Healthcare (Hidalgo, TX)
- …Healthcare of Texas is seeking a dynamic Growth & Community Engagement Specialist near the Hidalgo Texas area. Bilingual, Spanish speaking preferred. This role ... with community-based organizations and providers to promote Molina's services. The Specialist will collaborate with internal teams (Quality, Provider Relations, … more
- Covenant Health Inc. (Harriman, TN)
- Overview Emergency Department Patient Registration Specialist , Admitting & Registration PRN/OCC, Hours and Shifts Vary Roane Medical Center Overview: Proudly serving ... Medical Center. Position Summary: The Emergency Department Patient Registration Specialist coordinates the registration process for all patient encounters within… more
- Fallon Health (Lowell, 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 ... for MassHealth programs such as the personal care attendant program , adult foster care, group adult foster care, and...member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost… more