- MultiPlan (Atlanta, GA)
- Provider Contract Specialist - Medicare Advantage and Managed Care (Network Development Specialist) Remote At MultiPlan, we pride ourselves on being a dynamic team ... cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders -...we optimize the opportunity towards becoming a leading technology, data , and innovation voice in healthcare. Onward and upward… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …on IT Projects in health and human services programs (such as Medicaid , MMIS, claims processing, eligibility, HHS analytics, data warehouse, etc.) Proven ... is excited about expanding and adding an Agile Project Manager to our Professional Services team. This key member of our highly talented team will interface with our… more
- HHS Technology Group, Inc. (Atlanta, GA)
- … Management domain DESIRED SKILLS: State Government initiatives in Health and Human Services (HHS), Medicaid , MMIS, Provider Management); strongly desired. ... Open PTO policy Join us! WHO WE ARE HIRING: Data Analyst WHAT YOU WILL DO: The Data Analyst specializes in designing, developing, maintaining, and executing ETL/… more
- Blanchard Valley Health System (Findlay, OH)
- …State and county eligibility programs such as HCAP, 501-R, and Medicaid Positive service -oriented interpersonal and communication skills required. Knowledge ... and underinsured) patients for external and internal assistance programs, including Medicaid . This individual is also responsible for assisting patients in the… more
- Helen Ross McNabb Center (Knoxville, TN)
- …clinical providers at all levels in the Center are appropriately credentialed to provide billable services to maintain Center revenue. Assists with processing of ... Humana audit, by providing all requested documentation by deadlines. Maintain provider websites, typically including Optum, Availtiy, Magellan, Medicaid for… more
- Staffing Now (Miami, FL)
- …position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and ... key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment… more
- Staffing Now (Miami, FL)
- …position is primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and ... key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment… more
- Accounting Now (Miami, FL)
- …will be primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and ... key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment… more
- SNI Financial (Miami, FL)
- …will be primarily responsible for adjudicating all medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and ... key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by service line, ensuring client enrollment… more
- Berkeley Research Group (Chicago, IL)
- …coding guidelines and standards, as well as the Centers for Medicare & Medicaid Services (CMS) coverage guidelines. Conduct analysis of audit findings to ... to a variety of clients including providers and payers of healthcare services . We perform regulatory, reimbursement, data analytics, and compliance auditing… more
- Bridge Personal Care Services (Findlay, OH)
- …Assistant program Currently licensed in the State of Ohio Health Care provider CPR Certified Positive service -oriented interpersonal and communication skills ... Consistently maintains optimal patient care within budget constraints. Duty10: Displays Service Excellence as evidenced by practicing the mission, vision, and values… more
- Bridge Personal Care Services (Findlay, OH)
- …of Bridge. JOB DUTIES/RESPONSIBILITIES Duty 1: Demonstrates knowledge and skill necessary to provide appropriate care to the age of the patient enrolled with Home ... Health Care or Hospice Services . Duty 2: Collaborates with Primary RN, Physical Therapist,...follow through with home exercise program Duty 6: Displays Service Excellence as evidenced by practicing the mission, vision,… more
- Bridge Personal Care Services (Findlay, OH)
- …preferred. Current Ohio Driver's license with clean driving record and ability to provide own transportation while on duty required. Commitment to and knowledge of ... goals of the agency and standards and regulations governing it. Positive service -oriented interpersonal and communication skills required. Individual must be able to… more
- Bridge Personal Care Services (Findlay, OH)
- …nursing process to assess, plan, implement, and evaluate patient care in order to provide for the unique physical and emotional needs of each patient including care ... wounds, and fistulas. Duty 4: Demonstrates knowledge and skill necessary to provide disease/diagnosis age specific care to the patients served with Bridge Home… more
- Upholdings (Fort Wayne, IN)
- …rental payment and other lease violations. Share findings with property management and the service provider . * Coach and assist tenants with processes needed to ... maintain data on tenant participation, satisfaction, and request for additional services and activities. * Provide crisis intervention along with general… more
- Careers Integrated Resources Inc (New York, NY)
- …HEDIS/QARR measures to the NYS Department of Health and Centers for Medicare & Medicaid Services (CMS). The role is field-based and seasonal (November of the ... may also be required to conduct onsite abstraction of medical charts in provider offices throughout the NYC area. Product of Role & Responsibilities: Maintain… more
- Blanchard Valley Hospital (Findlay, OH)
- …System. REQUIRED QUALIFICATIONS High School Diploma or GED equivalent Exceptional customer service skills required Data entry and/or PC experience required ... offers financial assistance screenings and appropriately handles point of service collection discussions. Obtains required signatures and provides general… more
- Signature HealthCARE (Bowling Green, KY)
- …and attention to detail are crucial for accurate MDS assessments and documentationCustomer Service Orientation: Must be able to provide excellent service ... HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care:...5-star overall rating from the Centers for Medicare & Medicaid ServicesAdditionally, we have been awarded as a certified… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …solution delivery experience HIGHLY DESIRED. Experience in State Government Health and Human Services , Medicaid , and Provider Enrollment or Provider ... across teams. Partner with other teams to gain and provide support for automated regression testing practices. Use Java,...coverage. At least three (3) years of experience performing data validation activities (writing SQL queries to validate … more
- Volunteers of America Mid-States (Louisville, KY)
- …positive change in the lives of individuals and communities through a ministry of service . We provide housing for families, veterans, and low-income seniors. We ... substance use disorders directly to clients of Volunteers of America Mid-States 2. Provide clinical services daily to individuals/clients on case load (both… more
