- The County of Los Angeles (Los Angeles, CA)
- …meet State and Federal mandated standards and are in compliance comply with Medicare and Medi-Cal rules for reimbursement claiming. Oversees revenue generation ... in assigned programs to ensure revenue is maximized. Assists the Deputy Director or higher-level manager to develop and implement objectives, goals, policies, and procedures in connection with areas of oversight. Directs the conduct of, and participates in,… more
- BrightSpring Health Services (Clearwater, FL)
- …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading ... case conferences and other client-related meetings + Chairing committees as appropriate, safety, infection control, incident review, and human rights committees + Facilitating communication and serving as a liaison between and among nursing and direct care… more
- BrightSpring Health Services (Corpus Christi, TX)
- …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading ... case conferences and other client-related meetings + Chairing committees as appropriate, safety, infection control, incident review, and human rights committees + Facilitating communication and serving as a liaison between and among nursing and direct care… more
- UTMB Health (Galveston, TX)
- …at every encounter. + Obtains and documents informationrequiredfor third party reimbursement . + Ensures compliance with Medicare andthird-partycoverage. + ... Communicates with patient, referral source, UTMB physician and clinical staffregardingany obstacle to access or authorization. **Salary Range:** Actual salarycommensuratewith experience or range if discussed and approved by the hiring authority. **Equal… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria...1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement , generous paid time off, including vacation and personal… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …benefits that start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives + Ongoing mentorship, ... timely, and complete clinical quality reporting across multiple programs including Medicare CQMs, HEDIS, Stars, and Commercial payer quality initiatives. This role… more
- Molina Healthcare (Las Cruces, NM)
- …is primarily in the Medicaid space, however, will cross over to Marketplace and Medicare . This role will lead by example, working alongside their team. There may be ... Demonstrates thorough understanding of Molina's product lines, Medicaid, CHIP, Medicare SNP, Marketplace, MMP, etc **JOB QUALIFICATIONS** **REQUIRED EDUCATION:**… more
- Blue KC (Kansas City, MO)
- …time off** **Professional development courses, mentorship opportunities, and tuition reimbursement program** **Paid parental leave and adoption leave with adoption ... Specialist will oversee and support Blue KC's broker relationships across Medicare Supplement, Short-Term Plans, Dental, and ACA plans. The ideal candidate… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …benefits that start day 1 + Student Loan Repayment Assistance & Reimbursement Programs + Family-focused benefits + Wellness incentives + Ongoing mentorship, ... denial workflows as appropriate. + Prioritizes work with minimal guidance for optimal reimbursement and to avoid financial risk to both patient and hospital. + Will… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Working under limited ... have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of… more