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20%) Oversees the fulfillment of requests for vital statistics data from a variety of internal and external stakeholders such as the Office of Inspector General Medicaid Fraud Unit, Teachers Retirement System of Texas, Texas Secretary of State office, Social Security Administration and HHSC Medicaid Eligibility per contractual agreement.
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The qualified candidate will provide oversight, direction, and support in the architectural design and development of a Mulesoft deployment as part of the Medicaid Enterprise System Transformation Program on the MES Integration Platform and API Gateway.
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Follows compliance laws for meeting federal and state mandates as well as local policies in the performance of duties such as Individualized Education Program (IEP) development, Medicaid billing, report writing, and treatment plan/therapy log development.
$25.7 - $29.8 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Refer elders to other programs when appropriate, which may include Medicaid Waiver, Respite, Managed Care, Supportive Housing, or other relevant resources. Work in collaboration with other CBES Departments to ensure timeliness and quality of care delivery as set by the EOEA regulation, Central of Medicare and Medicaid (CMS) Quality Measures, and Agency policy.
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Five of Mission Hospital McDowell’s primary care practices have been recognized by the Centers for Medicare & Medicaid Services as Rural Health Clinics. Located in Marion, North Carolina, we offer many specialties, including family medicine, internal medicine, pediatrics, orthopedics, urology, obstetrics and gynecology, and walk-in, non-emergency care at Mission My Care Now McDowell.
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. HCA Healthcare Co-Founder. 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 Centers for Medicare and Medicaid Services (CMS) COVID-19 vaccine mandate requires staff without an approved medical or religious exemption to be fully vaccinated to be employed in this program.
Starting at $16.5 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Verify insurance benefits and determine pre-certification/authorization status via online or other resources.
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Due to youth being remanded, there is no Medicaid billing or productivity expectations and all services are provided in the facility. Position Description: The Juvenile Justice Clinical Case Manager will coordinate with the Cuyahoga Juvenile Detention Center staff and Applewood Mental Health team to identify the youth in need of clinical case management to best meet the youth’s needs while in the facility as well as in the community upon discharge.
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Continually monitors 340B regulations to ensure federal compliance, staying up to date on all rule changes, including HRSA/OPA, Medicaid and manufacturer changes. In conjunction with the VP of Managed Care Contracting & Payor Relations/legal department, reviews and negotiates any new 340B contracts and renegotiation of existing transaction fees.
$65,000 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Pharmacy Billing Specialist is responsible for electronic billing of Medicare, Medicaid and Third Party Insurance claims, utilizing Frameworks LTC Pharmacy system. Electronic billing of Medicare, Medicaid and Third Party Insurance claims utilizing Framework LTC Pharmacy system.
Starting at $18 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Qualifications : Candidate must have a Master’s Degree and a valid LSW or LPC along with a minimum of 2 years prior experience in the delivery of mental health services to children with complex needs is essential; as well as proven experience with Medicaid billing requirements.
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The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a five-star hospital for Overall Quality and The Leapfrog Group awarded Stamford Hospital an "A" for patient safety.
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Priority areas include Medicare Advantage, Medicare Part D, dual-eligible beneficiaries, Medicaid, primary care, home health care, homelessness, health equity, social determinants of health, among others.
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The incumbent will assist the Billing and Claims Manager with effectively managing the BUGSDM Accounts Receivable, in particular items billed to MassHealth and other state Medicaid programs. This position is responsible to review and investigate denials from the Medicaid/MassHealth administrator(s), i.e. Dentaquest, resubmit claims, processing adjustments to accounts within system, including write-offs and billing to the patients, as appropriate.
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medicaid job Company: Association For Community Affiliated Plans
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