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Officially we title this job a BOM or Business Office Manager, but in other centers it may be called a Medicare / Medicaid Biller or Accounts Receivable Coordinator or even a Financial Services Rep. This is NOT a remote / 'work from home' position.
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The Medicaid Coordinator will play a crucial role at our facility and will handle and manage Medicaid/Medicare billing in a skilled nursing facility. Job Responsibilities: · Proficient in Medicare/Medicaid billing · Handl e private/NAMI billing and collections.
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Prepare, submit, and scan approximately 1,000 provider enrollment applications per year for Medicare, Medicaid, Blue Cross, Blue Shield, CAQH and other payer programs as needed and is responsible for all aspects of payer portal access for individual providers.
$28.63 an hourFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We CARE for our patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers.
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Subject matter learning and expert on CMS cost reporting, disproportionate share (DSH), Uncompensated Care, Bad debt reporting, IME/GME, Medicare Wage Index, S-10 reporting, Tricare and 855’s, Ohio Medicaid, HCAP, UPL and Franchise Fee programs.
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Contractual arrangements include but are not limited to Medicaid, Commercial, Medicare Advantage, Medicare Accountable Care Organization (ACO) Reach, ACO – Medicaid, Capitation and global shared savings/risk.
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QUALIFICATIONS & EXPERIENCE REQUIREMENTSGraduate of an accredited school of nursing; RNValid RN license in the state employedThree years of experience in a long term care environment preferredExperience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIESThe MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process.
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Knowledge of CMS claims data, including Medicare, Medicaid, and Marketplace, in the IDR or CCW environment with Fee-for-Service ( FFS ) , Medicare Advantage encounter data, Medicaid data in the Transformed Medicaid Statistical Information System ( T-MSIS ) , or Prescription Drug Event ( PDE ) data.
$172,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines. Alternate Solutions Health Network LLC is seeking a LPN / LVN Home Health Hospice for a job in Akron, Ohio. Job Description & Requirements Specialty: Hospice Discipline: LPN / LVN Start Date: ASAP Duration: Ongoing Employment Type: Staff Agency: Summa Health at Home and Hospice Our culture and people are what set us apart from other post-acute care providers.
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As a Community and Social Health Policy Director, you would serve as a subject matter expert with health plans, functional teams, and external partners to provide needed policy expertise and consultation on issues pertaining to Medicaid, Medicare, integration of Medicaid and Medicare, managed care, long term supports and services.
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Ensures compliance with TJC, CMS, NYS OMH, OASAS, OPWDD, and the Center for Medicare and Medicaid Services and their regulatory agencies, in collaboration with the Chairman of Behavioral Health and other Division leaders.
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Provides Medicare, Medicaid (case mix), and managed care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident. Willow Tree Healthcare Center, a member of the CommuniCare Family of Companies, is currently recruiting an RN MDS Nurse / Resident Assessment Coordinator (RAC) to join our team.
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Great Lakes Healthcare Center, a member of the CommuniCare Family of Companies, is currently recruiting an RN MDS Nurse / Resident Assessment Coordinator (RAC) to join our team. THE COMMUNICARE COMMITMENT A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH.
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Manipulates and extracts Medicare, Medicaid, and other healthcare claims data stored in Cloud environment using appropriate software such as SAS, Snowflake, Python, R, SQL, and other software as appropriate for the task.
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Coordinates the vending of professional translation and review services in one or more languages (Arabic, Chinese, Farsi, Korean, Spanish, and Vietnamese) · Assists in completing and/or responding to regulatory agency reports (Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), etc.
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medicare medicaid short term jobs Title: mds coordinator
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