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View Point Health serves uninsured, underinsured, low-income Medicaid, Medicare, war veterans and some private insurance across multiple locations with a full continuum of behavioral health services and support.
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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The Accountant I maintains accurate personal needs accounts as approved by participants and interdisciplinary team, maintains log of Medicaid Eligibility, prepares and submits all mandatory reporting that is within their scope, works with vendors to ensure processing of program specific documents (claims, data submissions, etc.
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Minimum of three (3) years of account management experience for a government or private sector client in health care with two (2) years of Pharmacy claims processing point of sale (POS)systems experience.
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Serco is seeking a motivated Program Director to join our talented and fast-paced Public Sector Solutions team in supporting CMS’ implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children’s Health Insurance Program (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA.
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Provides documentation of professional services as required by Catholic Charities, the NJ Division of Mental Health Services, Division of Addition Services, NJ Department of Human Services, Council on Accreditation, Medicaid, and other third party payers to maintain licensing, accreditation, and/or generate reimbursement.
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Responds to, attends and/or supports external EOC related surveys at hospital buildings to include, but not limited to, Agency for Healthcare Administration (AHCA), Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), etc.
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Knowledge of Medicare and Medicaid eligibility. Supervises the coordination and monitoring of client and patient care, which includes periodic home visitation for health care and health education.
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If employed at one of our senior living communities that receives Medicare or Medicaid funding, team members must not be considered an "Excluded Party" as defined by the U.S. Department of Health and Human Services, any state Medicaid Programs, and any additional federal and state government contract programs.
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Fallon has consistently ranked among the nations top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products.
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At least one year of experience in the substance use, mental health, or human services field; and. Maintains compliance with all required rules and regulations including Federal Confidentiality (42 CFR, Part 2), HIPAA, Medicaid and/or HUD, and any others.
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Lone Star Circle of Care is a non-profit, Federally Qualified Health Center (FQHC) dedicated to providing high-quality health care to patients in Central Texas. Explain payment options, including sliding scale fees, Medicare, Medicaid and other forms of payment assistance.
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Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine.
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General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred. One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.
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Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group.
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