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ODM is implementing the next generation of Ohio Medicaid to fulfill its bold, new vision for Ohio's Medicaid program - focusing on the individual rather than the business of managed care.
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Prepares and submits Medicaid billing, submits corrected bills as necessary. Works closely with the COunty Ohio Job and Family Services for Medicaid eligible residents and updates A/R system accordingly.
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Coordinate with the special investigative units, and possibly develop referrals to the Medicaid Fraud Control Unit within the Ohio Attorney General's Office. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served.
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What we're looking for 5+ years of experience and cross-functional knowledge required with Medicaid recipient, provider enrollment, and financial subsystems. What we're looking for 5+ years of experience and cross-functional knowledge required with Medicaid recipient, provider enrollment, and financial subsystems.
Work from homeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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LSW, LPC, (LISW or LPCC preferred)Two years experience in social work required Valid driver's license & proof of auto insurance, (required to do home visits in 34 county area)Working knowledge of Medicaid and other regulatory agency standardsActive BLS certificate, Case Management certification desiredREQUIRED SKILLS:Possesses excellent written and spoken communication skills.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Work with external CPA firms for submission of Medicaid and Medicare cost reports. KY, IL, OK, TX, MI reimbursement & Medicaid experience preferred. Advanced Excel skills including Pivot tables, VLOOKUP, HLOOKUP Mandatory.
Full-timeRemoteExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members. We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
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Since its inception in November 2019, Better Health has gained Medicare licenses in 46 states, 16 Medicaid licenses, and preferred national provider contracts with leading payers, including Oscar Health and Humana.
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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 11 days ago - UpvoteDownvoteShare Job
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Checks and Responds to Quickbase assignments concerning issues with Medicaid Eligibility or Service Authorization issues. Reviews RFMS K-2 report in Quickbase to ensure resources are within Medicaid Limits and ensures planned spending occurs timely (before end of the month.
Full-timeExpandApply NowActive JobUpdated 21 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. Oversee facility operations of Patient Access functions (e.g. pre-registration, benefit verification, pre-authorization, admission/registration, service pre-payment, etc.
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Priority Patient Populations: Medicaid, Dually eligible, Medicare, Uninsured, Commercial Insurance. Serve as a resource to Heart of Ohio Family Health providers and case managers on general drug information, 340B program, and Medicaid drug policy issues.
Full-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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The GRC’s current work encompasses critical issues and challenges in public health and health services, including maternal and infant mortality, the ongoing opioid crisis, behavioral health, Ohio’s ACA Medicaid expansion, management of chronic conditions such as diabetes and hypertension, health equity, and health system payment innovation.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Sellers Dorsey is seeking Subject Matter Expert (Associate Engagement Director) working remotely, ideally from Ohio, who will work primarily on Ohio Medicaid Financing engagements and manage Sellers Dorsey client engagements focused on Medicaid strategy and financing, managed care, and provider policy and reimbursement.
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Coordinates with Patient Financial Services on patients without insurance coverage to obtain Hospital Care Assurance Program (HCAP) and Medicaid eligibility. Assists the patient (and family) along with health care providers in establishing a safe discharge plan following patient’s rights and regulatory requirements (Centers for Medicare & Medicaid Services (CMS), HIPAA, State, and DNV) for discharge planning.
Part-timeExpandApply NowActive JobUpdated 1 month ago
medicaid job in Columbus, OH
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