- 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
- 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
- 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
- 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
- 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
- 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), New York State Psychiatric Institute, P25685...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
- 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
- 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
- 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
- Lifespan (Rochester, NY)
- …benefits and programs applicable to clients, including but not limited to SSI and Medicaid , MMLTC, VA, Medicare , SNT. 15. Networking with other Lifespan programs ... Program Coordinator Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description Job Title:Program Coordinator … more
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