Louisville, KY
... outreach and resource assistance, state regulations are guidelines auditor, trained behavior restraints, private and medicaid billing, state coded documents Education Some College Skills • ICD-10/ CPT coding (10+ years) • Medical Scheduling, ...
- May 01
Atlanta, GA
... Precertification Specialist: responsible for obtaining Medicaid certifications. Provide support to the Department leadership in performing Quality Improvements Measurements. Nursing Supervisor within a Rehabilitation-Long Term Care Setting entails ...
- May 01
Tucson, AZ, 85719
... •Analyzed data insights and statistics for Medicare and Medicaid specialties and procedures. •Conducted variables distribution analysis using Histograms, Pie Plots, Whisker and box plots, and Distribution Curves. •Normalized user searches using NLTK ...
- Apr 30
Indianapolis, IN, 46236
... Indianapolis, IN 01/2016 – 08/2016 Senior Medicaid Project Manager / Consultant Expert in membership Trizetto Facets Claims Data, IHIE and HEDIS, and to provide critical advice, guidance, recommendations and leadership to the business owners and ...
- Apr 30
Nashville, TN
... Demonstrated expertise in Medicare and Medicaid compliance, policies, and procedures, facilitating effective task management. Conducted thorough reviews of medical coding to ensure precision in billing and treatment documentation. Proficient in ...
- Apr 30
Nesbit, MS
... of Health Partnership Collaborations • Mississippi Breast and Cervical Program • Title X Program • Immunizations (CHIPS, Medicaid, and Private Insurance) • MIIX vaccination database • PDSA projects • Referral Project Healthy You Screenings Tracer • ...
- Apr 30
Morganton, NC
... timesheets, payroll, and billing • Conducted routine inspections of client charts to ensure quality according to Medicaid auditing standards • Coordinated care with linking services for clients, including attending IEP meetings, Treatment ...
- Apr 30
Boise, ID
... August 2010 to June 2013 Molina Medicaid Solutions My current role is Provider relations division supervisor. Supervises and provides direct oversight of the activities of the Provider Services Call Center and EDI technical support team, Provider ...
- Apr 30
Atlanta, GA
... SKILLS • Insurance verification • HIPAA compliance • Data entry proficiency • Relationship building • Computer literacy • Salesforce CRM Healthcare industry knowledge • • Problem-solving abilities • Call center experience Medicare and Medicaid ...
- Apr 30
Austin, TX
... and Program for Evaluating Payment Patterns Electronic Report (PEPPER) reports distributed to the Centers for Medicare & Medicaid Services (CMS), Fiscal Intermediaries (FIs), Medicare Administrative Contractors (MACs) and short-term acute care ...
- Apr 30