- AdventHealth (Tavares, FL)
- …improvement as appropriate. Uses independent judgment to make recommendations to supervisor /manager regarding: Applicant selection for interview and input into the ... on the delivery of patient care services, including but not limited to Medicare , Managed care, Medicaid, third party providers, challenges to current health care… more
- HonorHealth (AZ)
- …to the patient, health system and physician. Communicates current Medicare requirements, HIPAA compliance and reimbursement criteria. Collaborates with Case ... all information according to departmental guidelines. Provides feedback to supervisor on changes/updates implemented by insurances as obtained. Contacts patients… more
- Gentiva (Lake Jackson, TX)
- …activity within the designated service area. + Maintain compliance with the Medicare Hospice Conditions of Participation 5% volunteer requirement. + Assess patient ... recruitment, hospice volunteer scheduling, volunteer coordination healthcare, hospice volunteer supervisor , hospice volunteer training, hospice volunteer outreach, hospice community… more
- Praxis Health (Bend, OR)
- …including; respecting and promoting patient's rights; sharing problems with immediate supervisor . + Other duties as assigned. + Reliable attendance and presence ... referrals and prior authorizations + Familiarity with insurance plans (HMO, PPO, Medicare , Medicaid) + Comfortable using Electronic Medical Records (EMR) systems +… more
- New York State Civil Service (Schenectady, NY)
- …criminal prosecution. * Conducts quarterly reviews of Agency properties as assigned by supervisor to ensure compliance with NYS Uniform and/or Life Safety Code, and ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- AccentCare, Inc. (Dallas, TX)
- …of permit to practice in state(s) of agency operation if required Medicare /Medicaid/Insurance specialty preferred Unless otherwise dictated by the state, at least ... providing supervision of SWFs, must meet state regulations as a qualified supervisor . Required Certifications and Licensures: Licensed to practice as a clinical… more
- Option Care Health (Memphis, TN)
- …as indicated by location and service line including governmental payers (ie, Medicare , Medicaid). + Provider NPI will be credentialed in association with the ... supervisory activities as assigned. + Performs other related duties as directed by supervisor . + Will maintain active ACLS and PALS certification. + Will follow all… more
- Sedgwick (Denver, CO)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... claims coding is correct. + Refers cases as appropriate to supervisor and management. **QUALIFICATIONS AND LICENSING** **Education & Experience** Bachelor's degree… more
- Aveanna Healthcare (Roswell, GA)
- …from other disciplines or resources. Documents these needs, communicates with supervisor and refers to other disciplines/resources as needed. + Assesses social, ... experience in a home health care setting. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Molina Healthcare (Detroit, MI)
- …they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and ... experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider… more