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Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems. Works with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management policy, clinical protocols, utilization management guidelines, and quality management programs.
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Does your client relationship experience include Medicaid Fee For Service (FFS) services? We offer solutions for Medicaid payments, healthcare, pharmacy benefits management and claims processing.
$105,500 - $137,500 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
$65,395.2 - $98,113.6 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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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.
$22.48 - $30.41 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience with Health Plan Medicaid operations, finances, business processes, and program design. Understand how to optimize existing Medicaid programs and launch new program designs within the Federal and State regulatory environment.
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Health care experience, particularly in the areas of Medicare, Medicaid, and related reimbursement regulations, desirable. Communicates with nursing home administrator, accounts payable/payroll, business office, and Vivage operations personnel.
$80,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Policy Analyst Payment Reform position works in collaboration with the Policy Division and Payment Reform Team to support CHCs in Medicaid and other payment methodologies, including value-based care, and monitors and influences the Colorado Medicaid and behavioral health systems, payment and health system reform and other issues impacting CHCs and their patients.
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The Assistant Business Office Manager (ABOM) provides administrative support to the Business Office Manager and the processes of billing facility charges to the appropriate payor, collecting outstanding Accounts Receivables, and overseeing Medicaid Pending cases, ULTCs, consolidated billing, Medicaid re-determinations and appeals in accordance with Nexion Corporate policy and applicable federal, state, and local regulations.
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The Department of Health Care Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health programs for qualified Coloradans.
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Assist in the preparation and drafting of testimony, regulatory comments, and position statements sent to legislative and regulatory bodies and other interested parties concerning legislation, policies, published reports, regulations, and statutes governing Medicaid, long-term services and supports (LTSS), and other waiver programs.
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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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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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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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This position is the centralized specialist responsible for all applicable financial and medical benefits (e.g., Medicaid, Medicare, Social Security Insurance (SSI), Social Security and Disability Insurance (SSDI), Veterans Administration (VA), etc.
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Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.
$18.85 - $25.65 an hourFull-timeExpandApply NowActive JobUpdated Today
medicaid job in Aurora, CO
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