- 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
- 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)
- …health first** Humana Healthy Horizons in Kentucky is seeking a UM Administration Coordinator 2 who will contribute to the administration of utilization ... management. The UM Administration Coordinator 2 performs varied activities and moderately...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… 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 ... needed to maintain credentials. Behavioral Health Administrative Service Organization Integrated Care Coordinator : + Two ( 2 ) years of direct behavioral health… more
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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 ... Office technical experience with Word, Outlook, and Excel + Knowledge of Medicare / Medicaid & commercial insurance + Must be passionate about contributing… 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
- 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
- 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
- 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
- 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
- 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
- Lancaster General Health (Lancaster, PA)
- …of hire. + ACLS Certification + A health care provider in good standing with Medicare , Medicaid , and other federal and state health insurance programs, ie not ... tangible impact on their lives. As an Oncology Nurse Coordinator , you will be responsible for providing high-quality care...excluded from participation in Medicare , Medicaid or any other federal or… more
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