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Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Two to three years college level courses/Associates Degree/Diploma in Respiratory Care. New Mexico Respiratory Care Practitioner License, Registered Respiratory Therapist credential from the NBRC, ACLS and/or PALS , BLS required.
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Subject matter expertise in healthcare claims data preferred, and even better with experience in HEDIS, quality reporting, clinical (EMR/EHR; Epic) or enrollment/membership data; experience with Medicare and Medicaid data is a plus.
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ELIGIBILITY - Determine and process eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare, PHS/Indian Health Service, Salud, Self Pay) Do the Census reports for PBX. Work Medicare secondary payor report as assigned.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
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General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred. Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and “How-To” documents.
$16 - $18 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Home Health Aide is responsible for providing patients with in-home personal care and designated health related services to maintain the patient's physical and emotional well being, while following the written plan of care, Medicare/Medicaid regulations and agency policies and procedures.
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Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.
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We're hiring board-certified physician assistant/physician associate (PA) contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
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Data entry experience and knowledge of Medicare, Medicaid, and third-party insurance preferred. Data entry experience and knowledge of Medicare, Medicaid, and third-party insurance preferred.
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Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. – Molina Healthcare is contracted with Medicare for HMO and PPO plans in select states, and with select State Medicaid programs.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Presbyterian Healthcare Services, a locally owned, not-for-profit healthcare system in New Mexico, is seeking a BE/BC Pediatric Endocrinologist to join our growing team of exceptional clinicians and staff in Albuquerque, NM. We’re all about well-being, starting with yours.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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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.
$15 - $19 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Develop a knowledge of the relationship of the MDS to Medicare, Medicaid, PPS, and RUGS. Take your nurse leadership career to the next level as a Director of Nursing in Training at Genesis, where you will receive an intensive orientation and training experience.
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Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
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We accept Medicare, Medicaid, and most private insurances. M-F. "Canyon Transitional Rehabilitation Center is a 73-bed skilled nursing facility now offering ACCELerate Skilled Nursing and Rehabilitation.
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medicare medicaid jobs in Albuquerque, NM
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