- Prime Healthcare (Redding, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up) -Corporate 150 East 42nd Street - Full-Time Days** ... including but not limited to financial verification, preparation of Medicaid applications, billing, processing accounts, payment and/or charge posting, account… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounts Payable Receivable Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up))-Corporate 150 East 42nd Street - ... hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing , and a leading school of medicine and graduate education. Mount Sinai advances… more
- VNS Health (Manhattan, NY)
- …+ Bachelor's degree, preferred Work Experience: + Minimum two years of managed Medicare , Medicaid , life insurance and/or any other sales experience that includes ... OverviewThe Medicare Enrollment Specialist educates consumers who have reached...and VNS Health policies and procedures. + Coordinates home nursing assessment visits, when appropriate, to ensure successful enrollment… more
- Gurwin Jewish Nursing & Rehabilitation Center (Commack, NY)
- …+ P rocess and submit electronic claims files on a weekly basis for all nursing home Medicaid residents. + P rocess and reconcile electronic weekly Medicaid ... Nami issues. + Advise prospective resident family members regarding Medicare and Medicaid regulations and facility policies....billing cycle. + Keep informed of any changes in Medicaid regulations and their impact on skilled nursing… more
- State of Georgia (Fulton County, GA)
- …+ Obtains and maintains comprehensive knowledge of operations and reimbursement policies of Medicare and Medicaid programs. + Works with investigative team to ... Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64128/other-jobs-matching/location-only) Hot… more
- Abt Global Inc. (Rockville, MD)
- …to add a talented researcher to its team of experts conducting policy-relevant Medicare and Medicaid research and evaluation. The successful candidate will ... career and their experience conducting research on post-acute care, nursing home health care policy, and health care claims...key technical roles on projects for the Centers for Medicare and Medicaid Services (CMS). As a… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- …and Medicare Secondary Payer claims for accuracy and timely submission per Medicare , Commercial, and Medicaid billing guidelines + Submission of Medicare ... on unpaid claims and document account within standard billing cycle time frame ( Medicare : 16 days after submission , Commercial/ Medicaid Coinsurance: 14-21 days… more
- NHS Management, LLC (Tuscaloosa, AL)
- …extensive knowledge of Skilled Nursing Facility Billing including, but not limited to, Medicare Part A and B, Medicare Advantage and State Medicaid ... payers. + Ensure compliance with all applicable regulations, including Medicare , Medicaid , and HIPAA. + Supervise, train,...Nursing Facility Billing including, but not limited to, Medicare Part A and B, Medicare Advantage… more
- Avera (Sioux Falls, SD)
- …will do** + Prepare and provide analysis of the Avera Health Medicare , Medicaid and Tricare hospital, RHC and nursing home annual cost reports and audits. ... Brief Overview** Accountable for assisting with the preparation of Medicare , Medicaid , and Tricare cost reports for...cost reports for Avera hospitals, rural health clinics and nursing homes. The Analyst assists with net revenue analysis,… more
- New York State Civil Service (Albany, NY)
- …well as the Division of the Budget and Centers for Medicare & Medicaid Services.This position requires experience with nursing home cost report data. This ... Operating team. Duties include:* Perfom high level analysis of Medicare and Medicaid cost report data, State...care statutes, regulations, and policies for their impact on Medicaid Fee for Service nursing home programs… more
- Fairview Health Services (Princeton, MN)
- …(DHS), the Minnesota Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS). **Responsibilities Job Description** **Job ... according to MCO, Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) guidelines + Performs additional clinical… 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 ... according to MCO, Minnesota Department of Human Services (DHS) and Centers for Medicare & Medicaid Services (CMS) guidelines + Performs additional clinical… more
- Hackensack Meridian Health (Maywood, NJ)
- …non BSN HackensackUMC employees. + Knowledge of federal and state regulations (DOH, Medicaid / Medicare ) + Knowledge of third party payers and/or managed care ... serve as a leader of positive change. The **Registered Nurse Care Manager** is a member of the healthcare...principles. + Knowledge of guidelines for Medicaid / Medicare and related state programs. + Knowledge… more
- UNC Health Care (Morrisville, NC)
- …analysis and review, and internal consulting in preparation for filing the annual Medicare , Medicaid , and Champus/Tricare cost reports for UNC Health Care ... with other staff members, department heads and senior leaders to furnish the Medicare and/or Medicaid auditors with the supporting documentation to minimize… more
- Humana (Lafayette, IN)
- …home diversion or long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working with a geriatric ... Qualifications** + **Must reside in Indiana.** + Licensed Registered Nurse (RN) in the state of Indiana without restrictions...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE (Program of All-Inclusive Care for the ... plan is compliant with all quality related obligations required by the Centers of Medicare and Medicaid Services (CMS), the Massachusetts Division of Medicaid… more
- Humana (Fort Lauderdale, FL)
- …professional onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN, Intern will utilize Humana's Medicaid training and ... goal to put health first? The Prior Authorization, Registered Nurse , RN, Intern will review prior authorization requests for...in working in the managed care industry + Previous Medicare / Medicaid experience a plus. + Previous experience… more
- Humana (Tallahassee, FL)
- …Facilities and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for ... plans in Florida over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid , achieve their best possible health and wellness… more
- Humana (Albany, NY)
- …across Humana's businesses. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% ... reinvention. It has transformed itself from the largest US nursing home company in the '60s, to the largest...Participating in interviews and working sessions with leaders within Medicare and Medicaid and across the broader… more