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Data entry experience and knowledge of Medicare, Medicaid, and third-party insurance preferred. PMS is not affiliated with Presbyterian Healthcare Services, Presbyterian Hospitals or Presbyterian Health Plan.
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Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. Taos Healthcare - Job Type: Full-time Benefits: Benefits: 401k, Dental, Health, Life & Vision Job Details The MDS Coordinator will be responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc.
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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. With more than 300 days of sunshine annually, Albuquerque is considered a destination city for most types of outdoor activities such as the annual Duke City Marathon, the Albuquerque International Balloon Fiesta, hundreds of hiking and biking trails as well as skiing in nearby Taos. Albuquerque is less than an hour away from Santa Fe, the third-largest art market in the U.S.
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Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. About Presbyterian Healthcare Services. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group.
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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.
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Presbyterian Healthcare Services is a large community healthcare system in New Mexico seeking a full-time Pediatric Surgeon to join our dynamic Childrens Program at Presbyterian Hospital in Albuquerque.
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Thriving multispecialty clinic setting provides pediatric cardiology, endocrinology, ENT, GI, Nephrology, Neurology, Surgery, Behavioral Medicine, Pulmonology, Hematology/Oncology, and Chronic Care. Co-located inpatient and outpatient services – centralized program in flagship hospital with comprehensive lab and ancillary services and a brand-new physician lounge, gym and easy access parking.
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Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA). Experience with Medicare, Social Security and Medicaid systems a plus.
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CMS Certification is the detailed review process used by The Centers for Medicare and Medicaid Services (CMS) to ensure the Medicaid Information Systems meet complex federal requirements for enhanced funding.
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The Senior Medicaid/Medicare Reporting Analyst will be responsible for delivering a comprehensive suite of reports in collaboration with business stakeholders across the health plan. Area of Expertise: Medicaid/Medicare Reporting.
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Ensure compliance with all federal, state, and local regulations governing home health services, including Medicare and Medicaid requirements. Collaborate with other members of the leadership team, including the Executive Director and Business Development Manager, to achieve organizational goals and objectives.
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Manages COPD, Asthma, ILD, Lung Masses. PFT Lab onsite; managed by pulmonary practice. Pulmonologist – Albuquerque, NM. From hiking, golfing and biking to skiing, snowboarding and boating, it’s all available among our beautiful wonders of the west.
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Provides mentoring and coaching to reimbursement assistants while staying current on all program related Medicaid and Medicare laws and regulations. Verifies preparation and timely submission of all Medicare claims and patient statements to assure prompt payment and contractual compliance.
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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.
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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. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
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medicare medicaid jobs in Albuquerque, NM
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