- CVS Health (Harrisburg, PA)
- …eligibility verification and compliance with CMS (Centers for Medicare & Medicaid Services) requirements. The Senior Coordinator will support and help lead ... day. **Position Summary** CVS Health is seeking a Senior Coordinator , Accounting to join our dynamic Medicare ...Senior Coordinator , Accounting to join our dynamic Medicare Risk Adjustment Team. This full-time role offers the… more
- UPMC (Pittsburgh, PA)
- …disabilities in the Commonwealth who are covered by Medicare and Medicaid . The CHC Assistant Service Coordinator assists in providing service coordination ... who serve the Participant (ie state agency or service coordinator assigned to case + Collect program data to...needed LTSS and Medical Assistance services, as well as non- Medicaid funded medical, social, housing, educational, and other services… more
- AmeriHealth Caritas (Detroit, MI)
- …**Role Overview:;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care coordination for Medicare ... needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the scope of… more
- Humana (Hammond, IN)
- …home diversion or long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working with a geriatric ... Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Fresenius Medical Center (Harrisburg, PA)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
- Humana (Columbia, SC)
- …Facilities and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for ... help us put health first** The Bilingual Telephonic UM Coordinator / UM Administration Coordinator 2 provides...over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid… more
- Dartmouth Health (Lebanon, NH)
- …or counsels the patient in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator ... choices of insurance coverage to best meet their individual needs, ie, COBRA, Medicare / Medicaid eligibility, Medicare Supplemental Plans, and Medicare … more
- University of Rochester (Rochester, NY)
- …correctly in the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report - - Claim ... variances and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer… more
- CVS Health (St. Paul, MN)
- …encourage people with military experience. As a Complaints Tracking Module (CTM) Senior Coordinator , you will be part of the Medicare Complaints Tracking Module ... (CTM) Team, responsible for researching and resolving Medicare complaints received via the Centers for Medicaid and Medicare Services (CMS). In this role,… more
- WMCHealth (Warwick, NY)
- …to other providers, regulatory agencies, billing agencies, and auditing agencies including Medicare , Medicaid , and third-party billers. + Scans, uploads, and ... Clinical Coordinator Company: Schervier Pavilion City/State: Warwick, NY Category:...+ Obtain Pre-Admission Authorizations and continued stay authorizations with Medicare , Medicare Advantage, Medicaid , and… more
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