- Meduit (Charlotte, NC)
- …and fully complying with all federal and state laws and regulations (HIPPA, Medicare Fraud , Waste and Abuse, etc.) regarding collections policies and procedures ... in a fast-paced environment Knowledge of medical terminology, HIPAA, Medicaid, Medicare , Insurance and FDCPA Experience with medical billing/claims processing Time… more
- CAPPS (San Antonio, TX)
- Job Description GENERAL DESCRIPTION The Medicaid Fraud Control Unit of the Office of the Attorney General (OAG) is seeking a Sergeant whose work will involve ... advanced criminal investigations of Medicaid provider fraud and nursing home related investigations. Work involves conducting criminal investigations of violations… more
- Clarke County Hospital (Osceola, IA)
- …hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud , waste and abuse. Brings any ... questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance. * Demonstrates initiative to improve quality and customer service… more
- Advanced Urology Institute (Charleston, SC)
- …skills. Basic knowledge of health insurance products (HMO, PPO, HSA, Commercial, Medicare etc.). Ability to navigate online health insurance portals to verify ... & CMS guidelines for Parts C & D on General Compliance and Fraud , Waste & Abuse. Complies with HR confidentiality standards. Requirements EDUCATION REQUIREMENTS High… more
- University of Maryland Medical System (La Plata, MD)
- …Commitment to Excellence - Recognized as a 4-star hospital by the Centers for Medicare and Medicaid Services (CMS) and honored with the Get With The Guidelines - ... opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud , please contact us at ###@umms.edu. more
- Solugenix (Los Angeles, CA)
- …Health Care (DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and state guidelines. Responsible ... Certified Public Account (CPA) or Certified Internal Auditor (CIA) or Certified Fraud Examiner (CFE) or Certified Information Systems Auditor (CISA). Pay Range for… more
- Nephron Pharmaceuticals (West Columbia, SC)
- …Complying with the legal requirements for pseudoephedrine sales o Complying with Medicare Durable Medical Equipment (DME) guidelines o Overseeing return to stock ... of personal health information o Complying with Continuing Medical Education (CME) Fraud , Waste, and Abuse o Properly documenting requirements for Medicare … more
- Nephron Pharmaceuticals (West Columbia, SC)
- …with CME Fraud , Waste, and Abuse *Properly documenting requirements for Medicare DME *Maintaining a safe and clean work environment *Maintaining a positive and ... *Complying with the legal requirements for pseudoephedrine sales *Complying with Medicare DME guidelines *Overseeing return to stock processing *Properly disposing… more
- Winnebago Comprehensive Healthcare System (Winnebago, NE)
- …controlled medications, to prevent diversion of medications through theft and fraud and prescription drug abuse. Routine duties shall include providing pharmacy ... pharmacy services. Guidelines: Guidelines available include: AAAHC, Conditions on Medicare -Medicaid Participation, Hospital Pharmacy Policy and Procedure manual, and… more
- BlueCross BlueShield of North Carolina (NC)
- …(SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company. Investigations are confidential and are ... + Prepares and conducts presentations and/or provides content for health care fraud and abuse education and awareness **What You'll Bring** + Bachelor's degree… more
- State of Colorado (Denver, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… more
- State of Colorado (Pueblo, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... / differently as a supervisor? "Inappropriately" could be instances of theft, fraud , sexual harassment, violence, or performance-based issues. 15 Our teams provide… more
- State of Colorado (Pueblo, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure… more
- State of Colorado (Jefferson County, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... treatment post discharge, obtaining identification, securing a payee, and applying for Medicaid/ Medicare as needed based on the individualized needs of the client. +… more
- Abbott (Austin, TX)
- …demands of rapidly changing environment. A solid understanding of the Medicaid laws, Medicaid/ Medicare + Fraud & Abuse statutes, Anti-Trust Laws, and Abbott's ... for long-term business growth. + Ensure strict compliance with Medicaid, Medicare , and other relevant regulatory programs, and provide guidance on legislative… more
- State of Colorado (Denver, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements), Drug Screen, PREA (Division of Youth Services), Trails check (direct contact with children), CAPS (direct contact with adults - Mental Health Institutes, Regional Centers, Veterans Community Living Centers). + Be a minimum of 21 years of age,… more
- State of Colorado (Denver, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements), Drug Screen, Trails check (direct contact with children), CAPS (direct contact with adults - Mental Health Institutes, Regional Centers, Veterans Community Living Centers) + Must be 21 years of age or older + Shift Work - may work alternate… more
- State of Colorado (Colorado Springs, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements), Drug Screen, PREA (Division of Youth Services), Trails check (direct contact with children), CAPS (direct contact with adults - Mental Health Institutes, Regional Centers, Veterans Community Living Centers) + Must be at least 21 years of age. +… more
- State of Colorado (Grand Junction, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements), Drug Screen, PREA (Division of Youth Services), Trails check (direct contact with children), CAPS (direct contact with adults - Mental Health Institutes, Regional Centers, Veterans Community Living Centers) and reference check required + Must… more
- State of Colorado (Golden, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements), Drug Screen, PREA (Division of Youth Services), Trails check (direct contact with children), CAPS (direct contact with adults - Mental Health Institutes, Regional Centers, Veterans Community Living Centers). + Ability to work shift work as… more
