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Mental Health Customer Service

Louisville, KY
... physician developed criteria, Medicare and/or Medicaid guidelines and refers them to the Medical Panel accordingly. ● Establishes a quality check date using client specific guidelines. ● Utilizes nursing experience and judgment in addition to the ... - Feb 19

Project Manager, Project Manager, lean facilitor

Oshkosh, WI
... Name: Rate Reform for the State of Wisconsin Goal: Implement infrastructure to support the operations/project coordination of the 74 Rate Reform Directives of the State of Wisconsin Medicaid for the Division of Health Care Access and Accountability. ... - Feb 19

Medical Biller/ Insurance Verification Specialist

San Clemente, CA, 92672
... Eligibility and Benefits understanding Medical Terminology EOBS, Deductibles, Co-Insurances Working with Medicare, PPO, HMO, POS, Medicaid,EPOs, various Insurance Companies Ambry Genetics Corp Insurance VerificationVerification Specialist, Verifying ... - Feb 19

Manager Administrative Assistant

Carrollton, TX
... • Develop and maintain working knowledge of current Medicare, Medicaid, insurance regulations, and FDA/DOT and JCAHO guidelines. • Work with sales representatives to develop and maintain key referral sources. • Take appropriate action to ensure that ... - Feb 18

Manager Project

Birmingham, AL
... Led multiple efforts assisting Hospitals and Providers organize and manage various Medicaid programs. Successfully managed eight direct reports, with a downline of over 50 resources Speared headed Application Performance Projects, EMR, (AppDynamics, ... - Feb 18

Insurance Claim Manager/Trainer & Drone Pilot

Big Spring, TX
... 1992-1997 Caprock Claims Service - Medical Claims - Blue Cross Blue Shield, Medicare, & Medicaid Duties included but were not limited to: Reviewing files, ICD-9 Coding, CPT, overseeing data entry, contacting physicians, coordinating with physician ... - Feb 18

Customer Service Medical

Minneapolis, MN
... Strong knowledge of HIPAA Compliance, TPL, COBRA, Medicare and Medicaid guidelines and Self-funding. Strong understanding of the various software development cycles (agile, waterfall, etc.) EXPERTISE: Advanced EPIC and MS Office Suite Skills Medical ... - Feb 18

Manager Medical Billing

Beltsville, MD
... Negotiated and re- negotiated Providers Contract with new and established Insurance Payers (MCO, Commercial, Medicaid, etc.). • Set –up Practice Management Software for submission of electronic claims to clearing house. Eye Associates of Washington, ... - Feb 18

Nurse Practitioner Mental Health

North Carolina
... fall 2018 at University of Texas Core Qualifications ANCC Certification DEA license NPI certification DOT certification Medicare and Medicaid numbers Experience Aug 24, 2018 – Nov 24, 2018 LeaderStat Locums, Melissa Green, recruiter LIFE St. ... - Feb 18

Medical Assistant Customer Service

Broomfield, CO
... October 2014 Physician Health Partners To April 2017 Denver, CO CCHA Health Partner 1 I transferred to this Department to learn Medicaid and help members learn about our program and the resources available to them. This department is set up as a ... - Feb 18
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