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
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
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
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
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
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
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
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
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
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