- Medical Mutual of Ohio (OH)
- … Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare Pharmacy Coordinator I** Working under general supervision, administers ... programs as needed. . Performs other duties as assigned. ** Medicare Pharmacy Coordinator II** Working under general...or PBM operations, which includes exposure to Centers for Medicare & Medicaid Services (CMS) guidelines, preferably… more
- St Croix Hospice (Oakdale, MN)
- AR Finance Coordinator Medicaid Job Details Job Location Administration - OAKDALE, MN Position Type Full Time Job Posting Date(s) Start Date 11/15/2024 ... Description The Accounts Receivable Medicaid Finance Coordinator is responsible for standard...monthly billing and accounts receivable reports. + Maintains accurate Medicare and Medicaid accounts receivable analysis reports.… more
- Humana (Columbus, OH)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... first** Humana Healthy Horizons in Kentucky is seeking a UM Administration Coordinator 2 who will contribute to the administration of utilization management. The… more
- Fairview Health Services (Edina, MN)
- …Services (DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS). **Job Expectations:** Assessment + Conducts ... has an immediate opening for a Social Worker Care Coordinator to support the Fairview Partners (FVP) team. This...Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) guidelines +… more
- Fairview Health Services (Princeton, MN)
- …Services (DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS). **Job Expectations:** Assessment + Conducts ... has an immediate opening for a Social Worker Care Coordinator to support the M Health Fairview Princeton Clinic....Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) guidelines +… more
- Fairview Health Services (Princeton, MN)
- …Services (DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS). **Job Expectations:** Assessment + Conducts ... Fairview has an immediate opening for an RN Care Coordinator to join the Fairview Partners Care Coordination team...Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) guidelines +… more
- 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
- 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 ... Integrated Care Coordinator Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4723613) Apply Integrated Care Coordinator Salary… more
- 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
- 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
- Humana (Richmond, 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
- HCA Healthcare (Overland Park, KS)
- …The Financial Coordinator understands detailed medical terminology, related insurance Medicare / Medicaid rules and regulations and the demographics of the ... between patients, physicians, centralized scheduling and billing offices, third party Medicaid eligibility vendor and community agencies. The coordinator will… more
- University of Rochester (Rochester, NY)
- …correctly in the system. + Examples of reports: + 2 nd insurance level report + Medicare and Medicaid credit balance report + Over $10,000 report + Claim Edits ... variances and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer… more
- BrightSpring Health Services (Brownwood, TX)
- …apply today! Responsibilities * Verifies prior to admission, the individual is eligible for Medicaid and has some type of active Medicaid based on referral ... Admission paperwork (found on Central Intake Shared Drive)* Completes Medicaid application ON THE DAY OF ADMISSION regardless of...Trust Fund* Responsible for working with Client Trust Fund Coordinator at the Austin* Business Center to set up… more
- 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 ... community and help us put health first** The Pre-Service Coordinator is responsible for all aspects of referral management...experience with Word, Outlook, and Excel + Knowledge of Medicare / Medicaid & commercial insurance + Must be… more
- 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
- 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), NYC Children's Center, Queens Campus, P25875...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded… more
- Hackensack Meridian Health (Eatontown, NJ)
- …assisting with new vendor contracting, and re-credentialing as needed with PBMs, Medicare , Medicaid , and other payers/entities. **Responsibilities** A day in the ... re-credentialing as needed. + Works closely with site leaders to ensure that Medicare / Medicaid agreements are up-to-date and assists with preparation for site… more
- 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
- Fallon Health (Worcester, MA)
- …live in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth ( Medicaid ) and Medicare benefits, including ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE- in the region. **Learn more at… more
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