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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 2 days ago - UpvoteDownvoteShare Job
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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.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies. Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance 401(k) Retirement Plan with Employer Match Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability Employee Discounts Tuition Reimbursement Paid Time Off & HolidaysResponsibilities.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Exists to manage and enhance computerized claims processing and information management systems in order to assure timely and accurate Medicaid and Child Health Plan Plus (CHP+) claims processing and payments in an environment of rapid policy change.
ExpandApply NowActive JobUpdated 9 days ago - 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. Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.
ExpandUpdated 8 days ago - UpvoteDownvoteShare Job
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Healthcare industry experience as it relates to risk adjustment, medical claims submissions, adjudication and payment, eligibility, encounters file management in particular for Medicaid/Medicare populations.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Education:High School Diploma or GED RequiredWork Experience:less than 1 year Related experience RequiredKnowledge, Skills, and Abilities:Knowledge of medical and/or public assistance programs including Medicaid, CHP+, CICP, DFAP, and Connect of Health Colorado health plans.
$21.15 - $30.24 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Marketing Manager will report to the Government Health Busines Director, Performance Media and Channel Activation and be accountable for developing and managing paid media strategies focusing on Medicaid across a modern marketing organization.
Full-timeExpandUpdated 5 days ago - 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.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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We accept Medicaid, Medicare, and many commercial insurance plans and collaborate in several quality improvement initiatives. Our skilled office staff supports an integrated care team consisting of 2 physicians, 4 nurse practitioners, a PA, an RN, a PharmD, a PsyD, and a diabetes and wellness coach.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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.
$65,395.2 - $98,113.6 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Besides the typical social work, knowledge of medicaid/medicare, VA, hospice, ULTC's, Social Security, Title 19, MCD redetermination and application process, ancillary scheduling and facilitation, rep payee and more.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Verifies insurance eligibility for governmental insurance payors (i.e. Medicaid, Medicare, Tricare, etc. Verifies insurance eligibility for governmental insurance payors (i.e. Medicaid, Medicare, Tricare, etc.
$24.83ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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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.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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A minimum of 3 years of experience in medical billing, collections, and accounts receivable (to include 2 years of supervisory experience) and working knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement, and Cash Applications; home infusion experience a plus.
$55,000 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago
medicaid job in Denver, CO
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