Loving Care Agency, Ridgefield Park, NJ
for billing; assess and streamline processes; support, guide and develop billing staff. * Maintain accurate ... in Billing Management; with experience in Medicaid and/or Medicare billing; Home Health care experience a plus *... view details
Apply View DetailsValley Health System, Ridgewood, NJ
Interqual Criteria, Milliman and Robertson Criteria , Medicare/CMS guidelines. Special Skills: Registered Nurse. ... Expected: None Supervision Received: Supervision from the Medicare Compliance Coordinator. Working Conditions:... view details
Apply View DetailsCSC (atlanta), Atlanta, GA
claims, benefits set up, billing, accounts receivable. Medicare Part D or Medicare Advantage is a plus.The Health Plan Sr Architect Specialist will provide technical consulting services to clients in the discipline of system architecture... view details
Apply View DetailsNational Academies-dc, Washington, DC
programs, both public and private sector (especially Medicare), health quality and health services to synthesize and edit research findings and technical data and determine the relevance of data for purposes of study. Prepares background... view details
Apply View DetailsFTI Consulting, Washington, DC
understanding of case management information technologies, Medicare guidelines and Medical Necessity Criteria. . ... (e.g., MIDAS, Canopy, InterQual, etc.). Knowledge of CMS Medicare guidelines and Medical Necessity Requirements. view details
Apply View DetailsKaiser Permanente-atlanta, Oakland, CA
Knox-Keene Act, Federal HMO Act, TJC, and all applicable Medicare and Medicaid regulations.- Significant leadership experience in regulatory surveys.- Must be able to work in a Labor/Management Partnership environment.- Demonstrated... view details
Apply View DetailsCaloptima, Orange, CA
including Compliance, Medical and impacted departments to guide the coding standards for the organization which ... Medicare, Medi-Cal and Commercial coding guidelines. Medicare Part C reimbursement (HCC model). Benefit... view details
Apply View DetailsFTI Consulting, Boston, MA
understanding of case management information technologies, Medicare guidelines and Medical Necessity Criteria. . ... (e.g., MIDAS, Canopy, InterQual, etc.). Knowledge of CMS Medicare guidelines and Medical Necessity Requirements. view details
Apply View DetailsUnited Healthcare Services, Atlanta, GA
with information, tools and solutions, we are helping to guide them through the health care system, financing their ... (Spanish/English) skills* Experience working with Medicare recipients and the geriatric population*... view details
Apply View DetailsUnited Healthcare Services, Richardson, TX
Healthcare Industry, Claims processing and/or encounters (Medicare, Medicaid or TED) environment is preferred* ... Finance: Oversee/guide fiscal management Finance: File insurance claims Finance: Oversee Medicare/Medicaid... view details
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DataStaff, Inc, NC - Raleigh
proactive data analysis efforts. Applies Medicare guidelines in addition to an advanced...experience in the analysis and processing of Medicare... view details
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UnitedHealth Group, CT - Rocky Hill
of regulatory and business requirements, specifically for Medicare and Medicaid prospective payment software solutions Preparation...cases for... view details
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UnitedHealth Group, VA - Reston
of regulatory and business requirements, specifically for Medicare and Medicaid prospective payment software solutions Preparation...cases for... view details
Apply View DetailsPrivate Home Care, IL - Chicago
service includes skilled nursing visits for Medicare and Private Insurance patients and is Medicare Certified. Job Summary: Due to the growing... view details
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UnitedHealth Group, MN - Eden Prairie
group by and sum data. Word -Creating templates) Assets: 2 years experience using SAS Enterprise Guide and SQL writing Medicaid and/or Medicare... view details
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