- Sedgwick (Roseville, CA)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... and claims coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …Submit claims to 3rd party health Insurance Carriers, with knowledge of Medicare coverage benefits. Interprets third party insurance policies and requirements for ... billing. Take Responsibility for Medicare reimbursable billing activities. Follow instructions about timeliness, objectives, and relative priorities for doing work.… more
- Sunrise Senior Living (Fort Belvoir, VA)
- …follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care ... Department Team Meetings, Cross Over, and others as directed by the Supervisor / Department Coordinator. + Assists with supervising team members through hiring,… more
- Sutter Health (Alameda, CA)
- …clinical standards of physical therapy care and practice, Title XXII, Medicare Conditions of Participation, JCAHO home health accreditation requirements, QI audits, ... infection control, and reimbursement patterns for Medicare and other payors. + Must be able to...problems as they arise or identify when to consult supervisor . + Must be able to deal with challenging… more
- City of New York (New York, NY)
- …calendar of scheduled community board Health Committee meetings and ensure immediate supervisor and the agency's Community Affairs borough liaison are informed of ... other government sponsored programs such as SNAP benefits; SSI or Medicaid, Medicare , and the Medicare Savings Program (MSP) for the aged 65 or older, certified… more
- Sutter Health (Alameda, CA)
- …care services, clinical standards of care and practice, Title XXII, Medicare Conditions of Participation, CHAP home health accreditation requirements, QI ... outcomes/benchmarking, infection control; good understanding of reimbursement patterns for Medicare and other payors; good working understanding of budget and other… more
- Adecco US, Inc. (Hunt Valley, MD)
- …limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. . Reports claims to the excess carrier; responds to requests ... and claims coding is correct. . Refers cases as right to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** . Performs other duties as… more
- BJC HealthCare (St. Louis, MO)
- …to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state, and accreditation agencies. ... must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights and… more
- AdventHealth (Orlando, FL)
- …The RN Care Manager is under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of ... are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice,… more
- The Arc Erie County NY (Williamsville, NY)
- …the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and ... the Office for People With Developmental Disabilities (OPWDD), Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and… more