- State of Colorado (Denver, CO)
- …Social Worker actively contributes to hospital-wide events, in-service training, and program development. The Social Worker III provides supervision to the social ... work externs in the externship training program and supports execution of the hospital's mission, vision, and values within the social work department and in… more
- Trinity Health (Grove City, OH)
- …Day Shift **Description:** Posting **Position Purpose:** + Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission ... and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare , Medicaid and other third party information requirements and adheres to all… more
- Molina Healthcare (Meridian, ID)
- …compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... delegated groups. + Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid, National Committee for Quality… more
- Ellis Medicine (Schenectady, NY)
- …across the healthcare continuum. Requirements: Graduation from an accredited LPN Program , with current NYS licensure. Prior human services experience preferred. ... in the chart. Assists Case Manager with medication prior authorizations. Provides Medicare Important Message to Medicare beneficiaries per CMS Conditions of… more
- CVS Health (Hartford, CT)
- …pre-certification, and predetermination of covered benefits in the commercial, Medicare , and Medicaid environment. This Wheelchair DME consultant provides subject ... and correct application of Aetna policies and practices for commercial, Medicare , and Medicaid environments. ◾Proactively use data analysis to identify opportunities… more
- Albany Medical Center (Albany, NY)
- …the Laboratory Billing Procedures Manual, working with the supervisors and IT specialist to validate new tests and systems, auto verification, billing charges, ... Coordinate and facilitate interactions among multi-disciplinary groups to achieve project/ program objectives. + Follows established policies and procedures on… more
- Evolent (Helena, MT)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- WellSense (Manchester, NH)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ago as ... to ensure appointment is made with the PCP or Specialist ; assessing for home health services, DME needs, and...than 740,000 members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded in… more
- Fallon Health (Worcester, 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 ... of providers' contracted services. + Orient and educate primary care, specialist , hospital, and ancillary providers by conducting physician and office staff… more
- AdventHealth (Hinsdale, IL)
- …Paid Time Off from Day One for FT/PT positions Student Loan Repayment Program for FT/PT positions Career Development Whole Person Wellbeing Resources Mental Health ... are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice,… more