• Medicare Pharmacy Coordinator

    Medical Mutual of Ohio (OH)
    …of experience, training, and education. . 1- 2 years of experience as a Medicare Pharmacy Coordinator or equivalent 5-6 years of experience in a health plan, ... Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers… more
    Medical Mutual of Ohio (09/20/24)
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  • Administrative Coordinator 1, 2 or 3…

    Louisiana Department of State Civil Service (Shreveport, LA)
    …each level: Administrative Coordinator 1 - $10.00 - $18.00 per hour Administrative Coordinator 2 - $11.45 - $20.61 per hour Administrative Coordinator 3 ... Work: May be used by all state agencies. Job Distinctions: Differs from Administrative Coordinator 2 by the absence of experienced-level duties that require some… more
    Louisiana Department of State Civil Service (11/07/24)
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  • Integrated Care Coordinator

    Spokane County (Spokane, WA)
    …System for Award Management (SAM) excluded provider, in any capacity for the Medicare , Medicaid , and all Federal healthcare programs. + Must successfully pass ... needed to maintain credentials. Behavioral Health Administrative Service Organization Integrated Care Coordinator : + Two ( 2 ) years of direct behavioral health… more
    Spokane County (11/09/24)
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  • School-Based Services Grant Project Initiative…

    State of Minnesota (St. Paul, MN)
    …Grant Project Initiative Coordinator ** **Job Class: Human Services Program Representative 2 ** **Agency: Human Services Dept** + **Job ID** : 81512 + **Location** ... position directs the overall operation of the Center for Medicare / Medicaid Services (CMS) grant project for the...health, or another related fields may substitute for two ( 2 ) years of work experience._** **Preferred Qualifications** + Variety… more
    State of Minnesota (11/02/24)
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  • Care Coordinator , RN

    Humana (Richmond, IN)
    …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2 ) who assesses and evaluates member's ... Committed? If so, apply today! **Position Responsibilities:** The Care Coordinator 2 employs a variety of strategies,...long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working… more
    Humana (10/29/24)
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  • RN - MDS Coordinator

    Elderwood (Wheatfield, NY)
    …for each individual assessment. + Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking ... $87,750 / year Overview Sign on bonus for MDS Coordinator $10,000 for full-time (paid over 12 months) What...Case Mix Index (CMI) preferred + Experience with state Medicaid program, Medicare /PPS program, Managed Care programs,… more
    Elderwood (10/24/24)
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  • Community Liaison Coordinator

    City of New York (New York, NY)
    …to present regarding Medicaid , Medicaid Excess Income, and the Medicare Savings program. The Community Liaison Coordinator will: - Conduct monthly ... The Eligibility Information Services Unit is responsible for providing information to Medicaid providers on Medicaid eligibility requirements that are mandated… more
    City of New York (11/06/24)
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  • Insurance Coordinator

    Fresenius Medical Center (Van Nuys, CA)
    …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
    Fresenius Medical Center (09/24/24)
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  • Grants Accounting - Coordinator 2

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    Grants Accounting - Coordinator 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4653309)  Grants Accounting - Coordinator 2 ... programs. * Minimum one year of professional experience in healthcare field, Medicaid program support, or working with insurance/ Medicare . Benefits for… more
    Louisiana Department of State Civil Service (10/22/24)
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  • Revenue Cycle Coordinator IV

    University of Rochester (Rochester, NY)
    …in the system. + Examples of reports: + 2 nd insurance level report + Medicare and Medicaid credit balance report + Over $10,000 report + Claim Edits 10% ... at RTP are required. Remote location must be within 2 hours of RTP and within New York State....trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and… more
    University of Rochester (08/24/24)
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  • Field Service Coordinator

    Humana (Linton, IN)
    …funding sources to meet their needs. + Assisting members in maintaining Medicaid eligibility + Collaborate with Medical Director/Geriatrician/Care Coordinator as ... and help us put health first** The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs...or long-term care case management experience + Experience with Medicare & Medicaid recipients + Experience with… more
    Humana (10/29/24)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare / Medicaid criteria and Health Plan policies to ensure the referral ... Office technical experience with Word, Outlook, and Excel + Knowledge of Medicare / Medicaid & commercial insurance + Must be passionate about contributing… more
    Humana (10/29/24)
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  • Utilization Review Coordinator , (NY…

    New York State Civil Service (New York, NY)
    …utilization review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or* Possession of a ... Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York State Psychiatric Institute, P25685...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded… more
    New York State Civil Service (10/10/24)
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  • MDS Coordinator RN/LVN

    Skyline Nursing Center (Dallas, TX)
    …to the responsible staff, resident, and/or responsible party. * Attends weekly Medicare , Medicaid and Managed Care meetings as required. * Corrects ... schedule a face to face interview ### The Mds Coordinator will be responsible for timely and accurate completion...assists, and instructs staff in the RAI Process, PPS Medicare , Medicaid (Case Mix as required) and… more
    Skyline Nursing Center (11/10/24)
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  • Transition Coordinator

    Humana (Indianapolis, IN)
    …part of our caring community and help us put health first** The Transition Coordinator (Care Coach 2 ) evaluates member's needs and requirements to achieve and/or ... the care and wellbeing of members. The Care Coach 2 work assignments are varied and frequently require interpretation...long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience with… more
    Humana (11/09/24)
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  • Transition Coordinator

    Humana (Indianapolis, IN)
    …part of our caring community and help us put health first** The Transition Coordinator (Care Coach 2 ) evaluates member's needs and requirements to achieve and/or ... the care and wellbeing of members. The Care Coach 2 work assignments are varied and frequently require interpretation...+ Interqual or Millman experience + Prior experience with Medicare & Medicaid recipients + Previous experience… more
    Humana (11/09/24)
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  • Utilization Review Nurse Coordinator (40…

    State of Connecticut, Department of Administrative Services (East Hartford, CT)
    …exit interviews of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of appeals on ... Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 241106-5613FP-001 Location...Joint Commission on Accreditation of Healthcare Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at… more
    State of Connecticut, Department of Administrative Services (11/07/24)
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  • Systems Programming Consultant / FX TCoE Training…

    MyFlorida (Tallahassee, FL)
    Coordinator . This position supports the modernization of Florida's Medicaid Management Information Systems. This incumbent should be highly organized, have ... SYSTEMS PROGRAMMING CONSULTANT / FX TCOE TRAINING & COMMS. COORDINATOR Date: Nov 6, 2024 The State Personnel System...internal and external business partners, and the Centers for Medicare and Medicaid Services (CMS) Medicaid more
    MyFlorida (11/07/24)
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  • Coordinator , Physician's Group Practice…

    Queen's Health System (Honolulu, HI)
    …in third party and government payor and reimbursement regulations, including Medicare / Medicaid program requirements preferred. B. EXPERIENCE: * In addition ... * Associate's degree in business, health care or related field; OR two ( 2 ) years progressive experience in healthcare, preferably in a physician practice may… more
    Queen's Health System (10/09/24)
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  • Coordinator -RAC TPE - HS Revenue Audit…

    Baptist Memorial (Memphis, TN)
    Summary Medicare / Medicaid Appeals Registered Nurse reviews and evaluates medical documentation to support billing compliance and external regulatory ... Medicare billing environment. Previous audit experience, knowledge of InterQual and Medicare Billing practices. Minimum: Required 2 years of healthcare care… more
    Baptist Memorial (09/05/24)
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