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Leads and assists with external inspections and surveys conducted by New York State Department of Health (NYSDOH), Food and Drug Administration (FDA), Center for Medicare & Medicaid Services (CMS), and United Network for Organ Sharing (UNOS/OPTN.
$19.15 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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NOTE: As a condition of continued employment, incumbents must obtain certification as a Nurse Practitioner by the American Nurses Credentialing Center or other national certifying body recognized by Health Care Financing Administration (HCFA) within nine (9) months of their appointment to this title as required by Medicare.
$129,494 - $183,236 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Consult with current and prospective Medicare members as they review coverage options Assist consumers in evaluating plan alternatives in line with their unique personal needs, utilization, and income.
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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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Signify Health is hiring part-time, board-certified nurse practitioner employees to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members. Signify Health is hiring part-time, board-certified nurse practitioner employees to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
Starting at $80 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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 hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Knowledge of healthcare reimbursement, Medicare and provider services, preferred. The Licensed Clinical Social Worker for the Metabolic Center for Wellness will provide social work services to patients seeking bariatric surgery as well as to individuals struggling with obesity and disordered eating behaviors.
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If you are appointed and lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program.
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Serve as a skilled care documentation specialist, ensuring accurate and timely completion of Medicare and Managed Care regulatory guidelines. Serve as a skilled care documentation specialist, ensuring accurate and timely completion of Medicare and Managed Care regulatory guidelines.
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Enrolled in CMS and remain an unconditional participating provider in the Medicare and Medicaid OPRA programs. A health services organization in Western New York is looking to add a licensedAdult Psychiatrist to join their growing Inpatient / Outpatient team in the Buffalo.
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Develop mutually acceptable set of goals and objectives for each key account by product line offering (e.g. Medicaid, Medicare, ACO REACH, PACE, MAPP/DSNP, MSO) Interaction will include, but not be limited to, practice transformation, care management, quality improvement, membership growth (including Health Home penetration), system integration, SDOH referrals, contract compliance and budget performance.
$75,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Submits statistical reports to the Business Office staff for Medicare billing payments, and completes assessment forms upon request. Submits statistical reports to the Business Office staff for Medicare billing payments, and completes assessment forms upon request.
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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.
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Reviews and interprets prescription and medical benefit coverage across all lines of business including Medicare D to determine what type of prior authorization review is required, documents any relevant medication history and missing information to assist the pharmacist/nurse/physician in the review process.
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The Pharmacy Billing Specialist is responsible for electronic billing of Medicare, Medicaid and Third Party Insurance claims, utilizing Frameworks LTC Pharmacy system. Electronic billing of Medicare, Medicaid and Third Party Insurance claims utilizing Framework LTC Pharmacy system.
Starting at $18 an hourFull-timeExpandApply NowActive JobUpdated Today
medicare job in Williamsville, NY
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