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Monitors all patients within program for Medicaid eligibility to be added to patient's chart for DOH reporting requirements. Oversight of all admissions to program for Medicaid eligibility for Department of Health reporting purposes.
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Demonstrated understanding of the application of healthcare finance and academic medicine and demonstrated competence in health care payment models, value-based care models, Centers for Medicare and Medicaid Services, medical billing, accounting, health systems organizational models is also required.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Leads the strategic planning development related to Medicare/ Medicaid reimbursement and Managed Care Case Management. Familiarity with Medicaid and Medicare regulations required. The RN Director of Clinical Documentation Reimbursement (CDR) is responsible for the overall operational and strategic planning of the Clinical Documentation and Reimbursement (CDR) Department and Health Information Management (HIM) Department.
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This includes Early Childhood billing, Medicare/Medicare HMO's, Blue Cross, IHA, Univera, Medicaid/Medicaid HMO's, Contract & Private Patient billing. Prior Practice Management system and electronic claim filing experience including maintenance of data tables Knowledge of Medicare and Medicaid billing guidelines.
$19.97 - $29.95 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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NYS Registered Nurse(s) with knowledge or experience with Medicaid billing, Uniform Assessment System (UAS), and development and management of care plans are encouraged to apply! The ALP Program is a Medicaid funded home care in an assisted living community.
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If appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid.
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Minimum of three-years nursing experience with one-year of home care experience in a LHCSA, CHHA or LTHHCP preferred. As a valued member of our team, the Registered Nurse (RN) will be responsible for the clinical oversight and coordination of the Licensed Home Care Services Agency (LHCSA)/Assisted Living Program (ALP), in conjunction with administrative staff and other service agencies.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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S erve as a resource to territory's accounts and Janssen Biotech staffregardinglocal, regional and national payer policies; reimbursement regulations and processes (i.e., eligibility and benefit verification, pre-authorization, billing, coding, claims, and appeals/grievances); practice management; Medicare and Medicaid rules and regulations; OSHA; HIPAA; and state-specific clinical staff licensing / certification requirements for product compounding, admixture, administration and monitoring.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Interview, screen and assist potentially eligible recipients with the enrollment process into Medicaid/Medicaid Managed Care, Child Health Plus the Essential Plan and Qualified Health Plans for Molina and other plans who operate in our service area.
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Experience with state Medicaid program, Medicare/PPS program, Managed Care programs, RUGs III and RUGs IV classification and reimbursement systems, Part A coverage. Manages NYS RUGs III case mix for Medicaid reimbursement.
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Daily insurance verification of 3rd party payers, Medicaid and completion of financial reviews. Agency Profile: Spectrum Health & Human Services respectfully partners with adults, children, and families as they recover from behavioral, emotional, mental health and/or substance related disorders by offering individualized and meaningful opportunities of hope, empowerment and support to achieve self-defined improvements in their quality of life.
$17 an hourExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Knowledge of homecare, Medicare and Medicaid preferred Case Management Certification Preferred Bilingual skills preferred. About Nascentia Health: Nascentia Health is leading the way in home care, post acute care and long-term community health.
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You must be cleared through the New York State Child Abuse Registry, the Justice Center for the Protection of People with Special Needs and the Medicaid Fraud Prevention and Detection database.
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In addition, a waiver of application fee will be allowed if you are determined eligible for Medicaid, or receiving Supplemental Security Income payments, or Public Assistance (Temporary Assistance for Needy Families/Family Assistance or Safety Net Assistance) or are certified Job Training Partnership Act/Workforce Investment Act eligible through a State or local social service agency.
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Activities may include Individualized Education Program (IEP) development, Medicaid billing, report writing, and treatment plan/therapy log development. Activities may include Individualized Education Program (IEP) development, Medicaid billing, report writing, and treatment plan/therapy log development.
ExpandApply NowActive JobUpdated 5 days ago
medicaid job in Buffalo, NY
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