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Under the general direction of the unit Supervisor, this person provides service coordination services for eligible participants who are Medicaid eligible under Community Health Choices.
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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
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1+ years of experience with long term care services and support, Medicaid or Medicare. Manage the care plan throughout the continuum of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
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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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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 position duties require quality assurance and compliance of Medicaid and Behavioral Health Administration (BHA). Inspiration for Men is a Medicaid funded program and provides up to 90-day residential stays for men suffering from severe substance use and co-occurring mental health disorders.
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Adena Pike Medical Center (AMPC) is a 5-star hospital rated by the Centers for Medicare and Medicaid Services (CMS). Hiking, fishing, hunting, camping, boating, and swimming are available at Pike Lake State Park, Lake White State Park, and Long's Retreat.
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Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan.
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Serco is seeking a motivated Data Processing subject Matter Expert 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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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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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
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Job responsibilities include the preparation of annual Medicare and Medicaid cost reports for Erlanger Health System entities. Other monthly responsibilities include preparing monthly calculations for Medicare and Medicaid contractual allowances for Erlanger Health System entities that will be used in the reporting of monthly financial statements.
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The Eligibility Specialist is responsible for assisting hospital patients with the completion of the application process for Medicaid. Emerus’ leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Health, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS and MultiCare.
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About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house. Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications.
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medicaid job Title: health services Company: Association For Community Affiliated Plans
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