- Spartanburg County School (Roebuck, SC)
- Announcement of Vacancy for: Medicaid Specialist Minimum Qualifications : High School Diploma (Required) with a College Degree Preferred At least 5 years of ... experience is preferred, but not required) 5 years' experience with Medicaid insurance, billing, school based programs Performance Responsibilities: Ensures the… more
- Bixler Moore, LLC (Canton, OH)
- Description Probate or Medicaid Paralegal - Estate and Elder Law Firm Do you take pride in delivering exceptional work and making a real difference in the lives of ... families? We're hiring an experienced Probate Paralegal and/or Medicaid Paralegal/Advocate to join our growing estate and elder...want to hear from you. As a Probate and/or Medicaid Paralegal, you will play a critical role in… more
- RHA Health Services (Asheville, NC)
- …CAP beneficiary and primary caregiver to educate about waiver services, other Medicaid , and community resources to meet the beneficiaries' needs. Identify needs to ... paid live-in caregiver, re-certifications, and supply billing. Participate in NC Medicaid -certified training programs and ensure program compliance within 90 days of… more
- Children's National Hospital (Silver Spring, MD)
- …will be responsible for preparing and filing the annual Medicare and Medicaid cost reports, audit support, third party settlement analysis, CHGME reporting, and ... healthcare industry Required Skills/Knowledge Strong knowledge of Medicare and Medicaid reimbursement regulations for hospitals and/or physician payment mechanisms;… more
- International Staffing Consultants, Inc. (Melville, NY)
- …elder law and estate planning Assist clients in understanding and navigating Medicaid eligibility and application processes Work collaboratively with a team of ... developments and changes in elder law, estate planning, and Medicaid rules Develop and maintain strong relationships with clients,...Deep understanding of the New York State Bar and Medicaid requirements Minimum of 3+ years of experience in… more
- Cultivate Behavioral Health and Education (Lexington, KY)
- …LCSW, LPCC, LMFT, LPA, LBA, etc.) Maintain a detailed understanding of Medicaid , Michelle P. Waiver and/or 3rd party regulations regarding licensure, continuing ... units, billing-procedures, etc. within 72 hours (waiver), 4 hours ( Medicaid ) of service provision. There will be no exceptions...a timely manner (by required timeline noted by the Medicaid /MPW), no date of service or time of service… more
- Greater Lawrence Family Health Center (Methuen, MA)
- …the team. Help patients access services: SNAP, SSI, DTA applications Medicaid or other benefits Educational/vocational resources Assist in appointment scheduling and ... and workforce. Experience within the ACO's member population preferred, including Medicare/ Medicaid . Experience working with Medicare, Medicaid , and/or Special… more
- InterDent Service Corp (Beavercreek, OR)
- …share and/or reimbursements. Review opportunities in Medicare Advantage plans, state Medicaid programs outside of Oregon and other growth avenues. Payor Relationship ... knowledge of various dental benefit models (FFS, Indemnity, PPO, EPO, DHMO, Discount, Medicaid , Medicare Advantage). Ideally has at least 10 years experience in the… more
- ABI Resources LLC (Bristol, CT)
- …At ABI Resources, a leader in disability support services for the Medicaid Acquired Brain Injury Waiver Program, we're seeking passionate individuals who are ... ACR, Access Health, United Services, and others. We support the Connecticut Medicaid MFP and ABI Waiver Program, providing comprehensive disability support services… more
- Molina Healthcare (Long Beach, CA)
- …director, and quality improvement staff. Facilitates conformance to Medicare, Medicaid , NCQA and other regulatory requirements. Reviews quality referred issues, ... license without restrictions to practice and free of sanctions from Medicaid or Medicare. PREFERRED EDUCATION: Master's in Business Administration, Public Health,… more
- Highlight Health (Philadelphia, PA)
- …review experience More than 2 years of hands-on commercial claims experience (Medicare/ Medicaid experience is not sufficient) In depth knowledge of commercial price ... certificates (AHIMA, AAPC, ACDIS, etc.) Database query skills Medicare and/or Medicaid claims experience Experience managing ERISA appeals NSA IDR experience… more
- UHS (Fort Lauderdale, FL)
- …maintaining the integrity of each patient's account. Maintain knowledge Medicare/ Medicaid billing requirements Understanding of Medicare codes for correct claim ... outstanding patient accounts in a timely manner. Knowledge of Medicare and Medicaid billing requirements. Knowledge of third party insurance electronic and paper… more
- StateJobsNY (Brooklyn, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... will result in the termination of employment. Additional Comments Background Investigation Requirements: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL) maintained by the Justice Center for the Protection of People with… more
- OU Health (Oklahoma City, OK)
- …precertification procedures. Works closely with outside agencies in helping patients apply for Medicaid and state aid. Works with other staff to ensure efforts are ... understanding of medical terminology Knowledge of or experience in Medicaid /Medicare programs Knowledge of organizational policies, procedures, systems, and… more
- Lundbeck (Edmond, OK)
- …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability ... to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION, EXPERIENCE and… more
- Gracepoint (Tampa, FL)
- …external standards, such as those set by the Joint Commission and Medicaid . The therapist will deliver clinical services, including psychosocial assessments and ... services following program guidelines and external standards (Joint Commission, Medicaid , etc.). Meets productivity requirements for the designated program through… more
- HC&N Healthcare Solutions (West Palm Beach, FL)
- …of facility MDS assessments Responsible for insurance (Managed Medicare, Managed Medicaid and Commercial) concurrent reviews Initiate and track insurance appeals for ... admission denials and continued stay Schedule UAS with Managed Medicaid providers on appropriate residents Track coverage for insured residents from admission to… more
- Molina Healthcare (Long Beach, CA)
- …in your community who are enrolled in the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities. People in the ... Degree in Nursing PREFERRED EXPERIENCE: Experience providing care through the Wisconsin Medicaid Personal Care Program or one year of home care experience To… more
- Novo Nordisk Inc. (Traverse City, MI)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business opportunities… more
- Wealthy Group of Companies LLC (Overland Park, KS)
- …secure funding through grants orcommercial insurance reimbursements (no Medicare/ Medicaid ), ensurecompliance with federal and state regulations including ... operations in a high-stressenvironment and navigating commercial insurance processes (notMedicare/ Medicaid ) with a deep understanding of addiction treatmentoperations, including… more
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