- Humana (Springfield, IL)
- …experience in health care and/or case management. + 1+ years of experience with Medicare & Medicaid recipients and/or long-term care and/or Home and Community ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- ABCM Corp (Aplington, IA)
- Medicare Coordinator - RN - Full-Time ABCM...to the English language + Per the Centers for Medicare and Medicaid Services (CMS), COVID-19 vaccination is ... required, with exceptions for medical and religious accommodations when reasonable Additional Information Job Type: Full-Time Shift: Day Shift, Flexible Scheduling; approx. thirty-two (32) hours/wk with potential for temporary Charge Nurse duties Wage Range*:… more
- ABCM Corp (Mount Vernon, IA)
- Medicare Coordinator - RN/LPN - Day Shift,...to the English language + Per the Centers for Medicare and Medicaid Services (CMS), COVID-19 vaccination is ... required, with exceptions for medical and religious accommodations when reasonable Additional Information Job Type: Full-Time Shift: 8a-4p, Flexible Scheduling Wage Range*: $36.00/hr-$41.50/hr, Negotiable (DOE) Base Wage: $40.00/hr (RN) and $36.00/hr (LPN)… more
- ABCM Corp (Nevada, IA)
- Medicare Coordinator - RN/LPN - Full-Time...to the English language + Per the Centers for Medicare and Medicaid Services (CMS), COVID-19 vaccination ... is required, with exceptions for medical and religious accommodations when reasonable Additional Information Job Type: Full-Time Shift: 8a-4p, with on-call rotation; Flexible Scheduling Wage Range*: $28.50/hr-$36.50/hr, Negotiable (DOE) Base Wage: $35.00/hr… more
- CVS Health (Fresno, CA)
- …provider relations; customer service or audit experience Preferred Qualifications -Some Medicare and/or Medicaid knowledge - Experience in reading or ... and State regulators. Understand and adapt to departmental process and policies. Medicare knowledge is a plus. Fast Turn Around of inventory, collaboration with… more
- The Cigna Group (Bloomfield, CT)
- …Location - Remote, United States** The Grievance team manages Cigna Healthcare - Medicare / Medicaid grievances that are presented by our member's or their ... resolve issues in a timely and compliant manner. Grievances coordinator position is focused on the processing of ...coordinator position is focused on the processing of Medicare customer grievances. This associate may screen incoming complaints… more
- Spokane County (Spokane, WA)
- …System for Award Management (SAM) excluded provider, in any capacity for the Medicare , Medicaid , and all Federal healthcare programs. + Must successfully pass ... Integrated Care Coordinator - SCRBH Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4316289) Apply Integrated Care Coordinator -… more
- Elderwood (North Creek, NY)
- …for each individual assessment. + Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking ... Salary $36.00 - $52.00 / hour Overview RN MDS Coordinator Pay Rate Range: $36.00 - $52.00 / hour...Case Mix Index (CMI) preferred + Experience with state Medicaid program, Medicare /PPS program, Managed Care programs,… more
- Fresenius Medical Center (Dallas, NC)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
- Humana (Indianapolis, IN)
- …home diversion or long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working with a geriatric ... Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Indian Health Service (Phoenix, AZ)
- …with other appropriate agencies, and Tribal Offices to establish eligibility for Medicare , Medicaid , Supplemental Social Security Income, etc. Interviews all ... Division of Financial Services, Patient Business in the Benefits Coordinator Section at the Phoenix Indian Medical Center. The...patients eligible for Medicare and Medicaid benefits to ensure they… more
- Robert Half Office Team (Milwaukee, WI)
- …Excel, Benefit Functions, Billing Functions, Claim Administration, Customer Service, Documentation, Medicaid , Health Care Audits - Medicare - Medicaid ... of 2 years of experience in an Insurance Authorization Coordinator role or similar position * Proficiency in using...* Experience with Health Care Audits, specifically related to Medicare and Medicaid * Familiarity with … more
- The Buckingham (Houston, TX)
- …functions. Responsibilities: + Maintains current knowledge base of guidelines for Medicare / Medicaid providers. + May conduct pre-admission assessments for ... + Analyze all MDS assessments prior to final submission to Center for Medicare / Medicaid Services (CMS) using the standard organizational software (CareWatch) +… more
- University of Rochester (Rochester, NY)
- …correctly in the system. + Examples of reports: + 2 nd insurance level report + Medicare and Medicaid credit balance report + Over $10,000 report + Claim Edits ... variances and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer… more
- Fresenius Medical Center (Cleveland, OH)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs, and ... insurance options when insurance contracts are terminated. + Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining … more
- University of Colorado (Aurora, CO)
- …and reports to professional, State and Federal requirements; including but not limited to Medicaid , Medicare , case logs, and drug logs as required. + Follow up ... Prior Authorization and Payer Reimbursement Coordinator - 33254 University Staff **Description** **University of...State and Federal requirements; including but not limited to Medicaid , Medicare , case logs, and drug logs… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …exit interviews of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of appeals on ... Utilization Review Nurse Coordinator (40 Hour) Office/On-Site Recruitment # 240516-5613FP-001 Location...Joint Commission on Accreditation of Healthcare Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at… more
- University of Rochester (Rochester, NY)
- …computer skills and ability to type 45 words per minute. Strong knowledge of Medicare , Medicaid and HMO processes. High comfort level to meet with ... insurance coverage; ensuring continued coverage for length of stay; Cobra entitlement; Medicare SNF covered days; and Long term care issues. Involves in-depth… more
- Humana (Indianapolis, IN)
- …funding sources to meet their needs. + Assisting members in maintaining Medicaid eligibility + Collaborate with Medical Director/Geriatrician/Care Coordinator as ... and help us put health first** The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs...or long-term care case management experience + Experience with Medicare & Medicaid recipients + Experience with… more
- The New Jewish Home (Mamaroneck, NY)
- …MDS. + Demonstrates understanding of MDS requirements related to various payers including Medicare , Managed Care, Commercial Plans and Medicaid . + Ensures that ... Home ,Sarah Neuman campus in Westchester is currently seeking a Full Time RAUM MDS Coordinator to join their team! This position has an incentive bonus of $ 5000.… more
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