- 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
- 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. Actively identifies and mentors new and existing leaders to promote… more
- Kroger (Costa Mesa, CA)
- …to all company, local, state, and federal laws and guidelines, including HIPAA Fraud , Waste and Abuse ( Medicare ), and DEA Procedures Work collaboratively with ... of hazardous waste drugs Work to prevent and report robbery, theft or fraud Support preventative maintenance by proper inspection and repair of equipment Reinforce… more
- PACS (El Cajon, CA)
- …the care plan as according to regulatory requirements. Create the schedule for all Medicare and Medicaid. They also start Medicare coverage for newly qualified ... patients or send out denial letters. They remain updated on changes in Medicare coverage and help determine documents needed for Medicaid reimbursement. Direct the… more
- Stinson's (New York, NY)
- …candidates should have experience with the following: Advising clients on healthcare fraud and abuse and compliance, including the Stark Law, federal and state ... Law, and False Claims Act. Advising and advocating for clients with Medicare and Medicaid reimbursement issues, including resolution of overpayments, RAC audits, and… 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
- Advanced Urology Institute (Oxford, FL)
- …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
- PACS (El Cajon, CA)
- …such to the Director. Provide information to residents/families as to Medicare /Medicaid, and other financial assistance programs available to the resident. Provide ... development of the department's budget. Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Maintain the… more
- Qlarant (Atlanta, GA)
- …with developmental disabilities. Qlarant is also a national leader in fighting fraud , waste and abuse for large organizations across the country. In addition, ... of prior experience in Intellectual/Developmental Disabilities services and Centers for Medicare and Medicaid (CMS) regulations Experience with conducting audits 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 (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
- State of Colorado (Fremont County, CO)
- …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements), Drug Screen, CAPS (direct contact with adults - Mental Health Institutes, Regional Centers, Veterans Community Living Centers) + Must pass a TB test. + This position is considered "essential service" and you will be required to report without… 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 ... 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 have valid unrestricted US… more
