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Operating in 12 states and the District of Columbia, AmeriHealth Caritas serves approximately 5 million Medicaid, Medicare, Children's Health Insurance Program (CHIP) and Health Insurance Marketplace members through our integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, and behavioral health services.
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Clearances: Pennsylvania Child Abuse Clearance, Criminal Clearance, and fingerprint-based federal criminal history; Verification that employee is not on any Medicaid/Medicare Exclusion list. Holcomb Behavioral Health Systems is accredited by the Joint Commission and provides a comprehensive range of services and supports for people with mental health, substance abuse, intellectual and developmental disabilities, and co-occurring disorders throughout southern and central Pennsylvania, central New Jersey, Delaware, and Maryland.
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As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
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The ideal candidate will possess a strong understanding of Medicaid operations, healthcare systems, and business processes. Candidate needs to have experience in the Medicaid Enterprise Certification Lifecycle (MECT) and Medicaid Policy and Operations as well as experience in working with healthcare payers.
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Responsible for all facets of the business office operation including billing Medicare, Medicaid, LTC Insurance, Managed Care, and Private Pay, Accounts Payables, Payroll Processing, and Reconciliation of Financial Bank Statements.
$61,000 - $73,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Clearances: Pennsylvania Child Abuse Clearance (if working in an adolescent residential program); Criminal clearance, and Fingerprint federal criminal history; Valid Driver's license and verification that employee is not on any Medicaid/Medicare Exclusion list.
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Licensed Practical Nurse (LPN) Aveanna Healthcare, the largest pediatric home health care company in the U.S., is hiring compassionate Licensed Practical Nurses (LPN) to provide skilled nursing care to patients in the home setting.
$33 - $36 an hourExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Familiar with life safety standards and/or knowledge of licensing (DMHAS, DDD, DCF) and other regulatory (e.g. Medicaid, CARF) bodies a plus; Familiar with life safety standards and/or knowledge of licensing (DMHAS, DDD, DCF) and other regulatory (e.g. Medicaid, CARF) bodies a plus.
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Background checks as stipulated by local and/or state requirements (e.g., child abuse clearance, criminal history report, etc) Must be able to support student(s) in using technology and adaptive devices they need to complete schoolwork, communicate, and navigate throughout the school.
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Salary: $50-70k per year Qualifications for Business Office Coordinator: Work as a team alongside the Medicaid Supervisor in the facility and assist with Medicaid Application, Medicaid Recertifications, Meetings and Collecting Documentation.
$50,000 - $70,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Clinical Management Specialist is a qualified professional responsible for collaboration with Home Health and Hospice leadership in planning, coordinating, and delivering quality services to the client.
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Check Medicaid remits for any denied claims and make whatever corrections necessary. Process Medicaid and Medicare 3rd party billing. Check Medicaid remits for any denied claims and make whatever corrections necessary.
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Monitor client accounts to ensure balances remain at required levels as determined by Medicaid and Social Security so they continue to remain eligible for benefits. We are seeking a qualified professional who is responsible for establishing, reconciling and maintaining consumer financial accounts, paying consumer bills, completing cash disbursements, tracking and monitoring all account activity.
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The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations. The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations.
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Candidates will possess a minimum of Bachelors Level Degree in a related field Knowledge of funding sources such as Medicare, Medicaid, Commercial/Private insurance MVP strives to support and encourage a working atmosphere of positivity and compassion for both our clients and our staff.
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medicaid job in Chester, PA
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