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Heritage Manor is rated a five-star skilled nursing facility by the Centers for Medicare & Medicaid services. Heritage Manor is rated a five-star skilled nursing facility by the Centers for Medicare & Medicaid services.
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What we need from you:Prior experience in a Skilled Nursing Facility (SNF) is requiredExperience with Public Aide / Medicaid billing and collections is required Previous experience with Medicare / Managed Care billing is helpfulPoint Click Care (PCC) software experience is idealPlease specify detailed billing experience (when, where, how often, collectables.
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The AR projects will include back-end collections and billing for Public Aide, Medicaid, Medicare and managed care accounts for our skilled nursing facility. 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.
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Perform DME billing for Medicare, Medicaid, Tricare, and other private insurances. Required - High School diploma or equivalent plus 2 years' experience in Medicare/Medicaid and commercial billing - preferably in Durable Medical Equipment setting.
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Perform denials, incorrect payments/underpayments, past due receivables, and complete follow-up processing of Medicare and other participating commercial insurances in a timely manner. Responsible for all billing and collection functions for Ballad Health Medical Equipment Services/Mediserve to include charge entry, payments, and A/R management.
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MetroPlus Health 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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THE COMMUNICARE COMMITMENTA 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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Experience in health care, health plans, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect.
$30.72 - $39.94 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services. Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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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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Must have at least 1 year experience as an RNAC in a skilled nursing facility completing MDS. Conduct and coordinate the completion of the RAI process in accordance with current rules, regulations, and guidelines that govern the resident assessment in accordance with Medicare, Medicaid, OBRA, and other payer programs.
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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.
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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. 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 in the following areas:Reimbursement functions: Subject matter 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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Ensures that all donor evaluations and organ cases are carried out based on SHSC, Centers of Medicare and Medicaid Services (CMS), OPTN / UNOS, Association of Organ Procurement Organizations (AOPO) and Centers for Disease Control (CDC) guidelines and recommendations.
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medicare medicaid skilled nursing jobs Title: coordinator Company: Casa Arena Healthcare
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