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Experience demonstrating knowledge of CMS Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare, CHIP and Marketplace, applicable State regulatory requirements, including the ability to easily access and interpret these guidelines.
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Ensures that all donor evaluations and organ cases are carried out based on SHSC, Centers of Medicare and Medicaid Services (CMS), OPTN / UNOS, Association of Organ Procurement Organizations (AOPO) and Centers for Disease Control (CDC) guidelines and recommendations.
Full-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Understanding of Medicare/Medicaid, Commercial insurance billing and reimbursement, and value-based care. Understanding of Medicare/Medicaid, Commercial insurance billing and reimbursement, and value-based care.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs. That’s why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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MUSC Health operates five hospitals, multiple rural health clinics and two skilled nursing facilities that require annual Medicare and Medicaid cost reports. The Project Director of Acute Care Reimbursement is responsible for the overall strategy and management as it related to multiple Medicare and Medicaid cost reports in order to optimize overall acute care hospital reimbursement, pass through payments, medical education payments, cost based pass through payments, wage index filings, hospital status classifications and all other related items that impact on the acute care hospitals’ reimbursement levels.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Requirements include: Proficient in PACER ,E-filing, medical record collections and review, resolving liens with medicare/medicaid, discovery and eDiscovery management, trial preparation and attendance, preparing mediation presentations, managing expert witnesses, and communicating with clients.
Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Follows all Medicare, Medicaid, and HIPAA regulations and requirements. Any specialty area assignment (i.e. critical care, emergency room, psychiatric, pediatric) will require prior recent clinical experience in that specialty area.
Part-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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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Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information. Makes inquiries and follow-up on all denied and unpaid insurance claims to include Medicare, Medicaid and third-party insurances.
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Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS). Job: Physical Therapist AssistantClassification: Hourly/Non-ExemptJob Category: 7 OperativesPosition SummaryThe Physical Therapist Assistant administers therapeutic interventions utilized in physical medicine to patients as directed by a physician and under the supervision of a Licensed Physical Therapist.
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Successful candidate must represent that he/she is not, and has never been, excluded from participation in the Medicare or Medicaid programs, or any other federal or state health insurance organization nor convicted of a health care-related criminal offense.
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