- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …collaboration with Provider Relations and Configuration teams. Monitor Centers for Medicare & Medicaid Services (CMS), Federal, State, industry standard, ... with a managed care organization or a health care related organization (HMO; Medicaid / Medicare ) One (1) or more years' experience working in direct relation… more
- Commonwealth Care Alliance (Boston, MA)
- …and medical coding (CPT, HCPCS, Modifiers) along with the application of Medicare /Massachusetts Medicaid claims ' processing policies, coding principals and ... ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role...Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and… more
