- University of Virginia (Charlottesville, VA)
- …Check-In and Check-out: + Completes all registration elements, including the Medicare Secondary Payor Questionnaire (MSPQ), scanning of long-term signatures (LTS) ... and insurance cards, Advanced Beneficiary Notices (ABNs), waivers, and financial screenings are completed when indicated and promptly + Communicates to patients what payments are due at the time of service, explain the risk of 'going out of network' for… more
- Northwell Health (Lake Success, NY)
- …and enters data into computer system, which may include patients on Medicare /Medicaid; + Verifies patient insurance coverage and other related data. Obtains patient ... insurance authorization required for services; Documents authorization approvals and denials in computer systems; may financially screen patients, evaluating and assessing all self-pay patients pre-registered or inpatient/outpatient, to establish method of… more
- Baylor Scott & White Health (Dover, DE)
- …are completed in a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and ... entities on compliance matters. _Third Party Compliance_ . Assists in assessing and mitigating risks related to third-party relationships, including bribery, corruption, sanctions, and reputational concerns. . Supports the implementation and maintenance of… more
- Baylor Scott & White Health (Salt Lake City, UT)
- …a timely way. . Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH ... departments and entities on compliance matters. KEY SUCCESS FACTORS . Continually demonstrates initiative by learning business processes and applicable auditing techniques. . Ability to exercise good judgment, attention to detail, integrity, dependability, and… more
- CVS Health (Chicago, IL)
- …+ Performs accurate analysis and risk assessment for new business group Medicare Advantage opportunities. + Produces timely and accurate customer specific documents ... for RFP responses. + Work closely with the sales team to provide strategic solutions which are affordable and satisfactory to the member and plan sponsor. + Drives for results by working across departments and functions in a focused and collaborative manner. +… more
- The Cigna Group (Houston, TX)
- …with medical claims data (CPT/ICD10) + Experience with HHS ACA (or Medicare ) risk adjustment models; Healthcare Actuarial Modeling or financial modeling background ... preferred + Ability to work with business partners in consultative manner + Strong communication skills (eg experience translating complex analyses into easy-to-follow slides/materials) + Ability to independently prioritize and manage multiple responsibilities… more
- University of Virginia (Culpeper, VA)
- …Check-In and Check-out: + Completes all registration elements, including the Medicare Secondary Payor Questionnaire (MSPQ), scanning of long-term signatures (LTS) ... and insurance cards, Advanced Beneficiary Notices (ABNs), waivers, and financial screenings are completed when indicated and promptly + Prints medication lists and gives them to the patient/family for review during check-in + Promptly and accurately updates… more
- ICF (Reston, VA)
- …OpenAPI to develop robust and scalable applications that support the Centers for Medicare and Medicaid Services (CMS) Hospital Quality Reporting (HQR) as we develop ... a next generation reporting and analytics system that directly impacts healthcare quality. Your responsibilities will also include leveraging AWS cloud technologies to manage large datasets and create efficient data pipelines. You will be expected to design,… more
- Cognizant (Long Beach, CA)
- …by working with Business team . f) Familiarity with Medicaid and Medicare programs are minimum requirements. **Salary and Other Compensation:** The annual salary ... for this position will be in the range of $113,000/year to $132,500/year and depends on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program, based on performance… more
- CVS Health (Lansing, MI)
- …years Industry experience in mental or behavioral health, payer, commercial, and Medicare + Proven ability to interact with, influence and collaborate with business ... leaders and producing managers at all levels + PMP certification + Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity **Education** + Bachelor's degree or equivalent professional work experience **Pay… more