- New York State Civil Service (Ovid, NY)
- …individuals served by the treatment team when needed.* Serve as Building supervisor when needed* Supervise lower-level clinical staff and/or interns. * Other duties ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- Sutter Health (Concord, CA)
- …Thorough understanding of home care and/or hospice services, Title XXII, Medicare Conditions of Participation, CHAP home health and/or hospice accreditation ... QI outcomes/benchmarking, infection control; good understanding of reimbursement patterns for Medicare and other payors; good working understanding of budget and… more
- Humana (Annapolis, MD)
- …or perform other duties and tasks requested by his or her supervisor , consistent with the purpose of the position, department, and/or company objectives_ ... Ability to interpret and understand policy and/or government contracts (IE TRICARE, Medicare , Medicaid, CMS etc ) + Comprehensive knowledge of Microsoft Office Suite… more
- BJC HealthCare (Farmington, 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
- TEKsystems (San Bernardino, CA)
- …Works under the supervision of the Government Contracts Managed Care Supervisor . Analyzes and interprets Commercial contract language, terms, conditions and ... review aging reports Skills collector, healthcare, medical, commercial, insurance, medicare , advantage, medical collections, medical insurance billing, medical billing… more
- Sutter Health (Alameda, CA)
- …understanding of home care and/or hospice services, Title XXII, Medicare Conditions of Participation,home health and/or hospice accreditation requirements, QI ... infection control + Good understanding of reimbursement patterns for Medicare and other payors; + Good working understanding of...problems as they arise or identify when to consult supervisor . + Must be able to deal with challenging… more
- CVS Health (Albany, NY)
- …**Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration groups to drive improved performance by leading ... Senior Clinical Strategist works to drive clinical performance of assigned Medicare Provider Collaboration groups by: - Establishing trusting relationships with… more
- LA Care Health Plan (Los Angeles, CA)
- …position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California Department of Health Care Services ... Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze...5 years of experience in Managed Care working with Medicare , Medi-Cal and other State Sponsored programs. Knowledge of… more
- WellSense (Boston, MA)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ago as ... in the community or at facilities when required and approved by the supervisor or manager, in alignment with WellSense policies and procedures** + **Develop,… more
- Adecco US, Inc. (San Diego, 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