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The CRS manages the overall resident assessment process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center.
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Mills-Peninsula Medical Center is recognized as an LGBTQ+ Healthcare Equality Leader; rated as 5 stars by The Centers for Medicare and Medicaid Services (CMS) 2019-2022 and as one of "America's Best Hospitals" for coronary intervention, stroke care, cardiac, and critical care by HealthGrades.
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A not-for-profit, 241-bed general acute care hospital affiliated with Sutter Health. Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Dia de los Muertos Celebration, Money Management/Money Relationship, and more.
Full-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Reviews, edits, processes and submits electronic and hardcopy claims to various payers (Medicare, Medicaid, Managed Care and Private Insurance) for FQHC (Federally Qualified Health Centers) and FFS (Fee-For-Service) reimbursement to ensure accuracy of payment entries and completeness of charge captured information.
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Supervisory or operations management experience, a strong understanding of skilled nursing standards of care, and federal and state regulations including Medicare, Medicaid, and Managed Care reimbursement rules.
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Knowledge of state and federal regulations affecting or directing the delivery of Retirement and Assisted Living services and operations, including the knowledge of Medicare and Medicaid regulations and processes.
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Health care facilities in California are licensed, regulated, inspected, and/or certified by a number of public and private agencies at the state and federal levels, including the CDPH Center for Health Care Quality (CHCQ) and the U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS.
$3,721 - $4,661 a monthFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations. The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations.
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As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
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Provides leadership and oversight for transplant clinic staff, ensuring the proper tools, resources, and environment to carry out their responsibilities, including operating within compliance of TJC, Medicare, Medicaid and UNOS regulations.
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Educate applicants/families on available resources and support and on specific policies/programs such as Medicaid Waiver and Institutional Deeming. Act as an advocate with applicant/family to assure receipt of entitled services and to assure applicants rights are honored, particularly in relation to SSA/SSI and Medicare.
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