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Provides / recommends adaptive devices, orthotics or prosthetics. Utilizes guidelines for skilled documentation following standards established by The Center for Medicare and Medicaid Services (CMS), Medicare Administrative Contractor Local Coverage Determinations (MAC LCD) and HumanGood.
Part-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Part-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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5+ years of experience in Medicaid billing, reimbursement, claim payment or cost reporting. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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The Sr Medicaid Reimbursement Regulatory Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including institutional, as well as professional payment systems.
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Qualified candidate must possess a minimum of a Ph. D. /Psy. D. from an APaccredited Clinical /Counseling/School Psychology program ; active licensed Clinical Psychologist in the state of Illinois and Missouri as well as eligibility for enrollment with insurance companies and Medicaid.
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Assure that the services of the program meet standards set forth by CQL (Council on Quality and Leadership) in supports for People with Disabilities, The Center for Medicaid Services, and Department of Health and Human Services.
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Establishes individual resident plan of care, based on current evidence, to optimally address resident-specific goals and to comply with service delivery parameters in accordance with the Resident Assessment Instrument (RAI) Manual, Managed Care Contract or other guidelines specific to skilled nursing and rehabilitation.
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Bachelor’s degree in Business or FinanceComfort with leveraging technology to enhance processes; experience with NetSuite and Adaptive Insights preferred. Edifecs customers cover 290 million lives and include 100% of national health plans, 70% of state Medicaid programs, and 94% of the lives covered by Blue Cross Blue Shield payers.
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Knowledge of insurance plans and their requirements (ie: worker's compensation, managed care, Medicare/Medicaid) desired. To be successful in this role, the employee must be competent, flexible, and adaptive to changes in healthcare delivery and technology.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Must be able to support student(s) in using technology and adaptive devices they need to complete schoolwork, communicate, and navigate throughout the school. Personal Care Assistant. Background checks as stipulated by local and/or state requirements (e.g., child abuse clearance, criminal history report, etc.
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Summary This position is the initial contact for patients with Southern Maine Medical Center, and as such must demonstrate exceptional customer service skills in all interactions. This position has the responsibility for complete and accurate patient registration, insurance verification, medical necessity validation, identifying and collecting amounts due from the patient, entering orders, and providing for an efficient flow of clinical, administrative and clerical tasks.
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First aid and/or CPR certification as stipulated by local and/or state requirements. Paraprofessionals complement teachers educational efforts by providing direct support and instruction to students throughout the school day.
$18 - $23 an hourPart-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Medicaid or commercial billing and reimbursement experience. At Zelis, the Sr Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the company's goals by researching, analyzing, documenting, and communicating rules, regulations, and procedures pertaining to public and private Medicaid payment systems.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Adheres to all regulatory requirements (e.g. Ohio Revised Code, The Joint Commission, Centers for Medicare and Medicaid, Ohio Board of Health, etc.) Acts as adaptive expert implementing sustainable rapid cycle change.
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Ongoing continuing education hours as stipulated by local and/or state requirementsOther Skills/AbilitiesMust be able to adhere to confidentiality standards and professional boundaries at all timesMust be able to support student(s) in using technology and adaptive devices they need to complete schoolwork, communicate, and navigate throughout the school.
$17 - $20 an hourPart-timeExpandApply NowActive JobUpdated 4 days ago
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