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The Medicaid Specialist will prepare in-services and educational programs necessary to ensure that all levels of direct-care staff are aware of the regulations and expectations of the above named organizations.
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Experience working with managed care claims, third-party liability, Medicaid waiver programs, and provider enrollment; Knowledge and expertise in managed care claims, third-party liability, Medicaid waiver programs, and/or provider enrollment.
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Jump-start your career as a Medicaid Eligibility Advocate today with Mission Hospital. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
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Therefore, what we need from you : Must possess a minimum of three (3) years’ of bookkeeping or BOM experience in a Skilled Nursing Facility (SNF) with a specific focus on collections and outstanding receivables Experience with Public Aide/Medicaid billing and collections is a must (please specify detailed experience on resume / application for consideration.
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Cross training and cross coverage for Medicaid Waiver Service Coordination Programs (Traumatic Brain Injury and Nursing Home Transition Diversion) as needed. ESSHI known as the Empire State Supportive Housing Initiative is a grant funded housing program that provides housing to 55 + adults who are homeless or at risk of being homeless with active Medicaid who can benefit from service coordination services.
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We are currently seeking a full time Medicaid Coordinator who will embody the passion and commitment required to deliver the ultimate care for our residents. Review all documentation including 60 months of banking to determine Medicaid eligibility or penalty periods incurred.
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Client outreach and program education services: Educate families about EPSDT benefits for Medicaid eligibility; including well child and oral health care as outlined by the Colorado Periodicity Schedule.
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We are looking for compassionate and caring Medicaid Eligibility Specialist to join our LIFE New Jersey team. Medicaid Eligibility Specialist. Work with families and participants in a timely manner to assist them in completing the paperwork needed for Medicaid eligibility.
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Evaluate current contracts related to reimbursement including Therapy, all Medicaid long-term care, Medicare Advantage and other insurance to ensure terms are beneficial and current services provided align with contract terms and provide appropriate reimbursement to St. Camillus.
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The CPO works in concert with HDSW administration to complete reports as required, represent the agency as community liaison and work with program Directors to maintain census, corporate compliance, quality improvement activities, and maintain revenue cycle management through Medicaid billing.
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Experience in health care, health plans, Covered California, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect.
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Conducts complex criminal investigations of Medicaid provider fraud, and/or assures that nursing home related investigations are addressed professionally and in a timely manner, utilizing a wide range of techniques, with the goal of accomplishing the primary mission of MFCU, bringing violators of state and federal law, over which MFCU has jurisdiction, to justice, and identifying Medicaid and Medicaid related overpayments to Medicaid providers.
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The Department of Health Policy & Management and the Health Policy Institute at the University of Pittsburgh are seeking a health policy researcher for a full-time faculty position at the rank of Research Assistant or Research Associate Professor (Appointment Stream) to conduct Medicaid policy research.
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Eligibility: Effectively and accurately utilize the payer websites to verify insurance eligibility, such as: SPOT, Medicaid, Availity, UHC, and other payer websites. Eligibility: effectively identify if patients have a Medicare or Medicaid advantage plan or replacement plan and locate the correct plan information.
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Facilitate the ongoing eligibility of consumers for services including medical eligibility, knowledge of private insurance benefits, Social Security, Medicaid, Medicare, Kansas Brain Injury waiver, and other funding options.
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medicaid job Title: primary physician Company: Ima Medical Group
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