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Some of the responsibilities of this role include providing our clients with Medicaid and CHIP managed care and fee-for-service pharmacy benefit policy and operational expertise, project management, team management, client management, analytical oversight and business development.
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Oversight of efficient and effective Medicare and Medicaid billing and compliance procedures including risk management. Proven success in overseeing Medicaid/Medicare billing/compliance/regulations.
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Manage a caseload of clients, ensuring personalized guidance through the Medicaid eligibility and application process. We are seeking a diligent and client-focused Eligibility & Planning Specialist for our client to guide and support clients in achieving eligibility for Medicaid Long Term Care (LTC) benefits.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Actuarial team includes more than a dozen actuaries with expertise across commercial, Medicare, Medicaid, and other business segments to help with book-of-business teardowns, risk adjustment analytics, and Medicare growth and stars models.
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Documents results of patient's assessment, treatment, follow-up and termination of services following standards established by the Center for Medicare and Medicaid Services and the Community. Provides/recommends/fabricates adaptive devices, orthotics or prosthetics.
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The delivery of required Medicaid Waiver Home and Community-Based Services shall comply with the Evidentiary Certification Principles. The Residential Support Staff Member is responsible for providing residential support services for the Home and Community-Based Service (HCS) and ICF-IDD program participants.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Dallas, TX, USA Req #184 Tuesday, April 20, 2021 Centauri Health Solutions provides services to payors and providers in government sponsored healthcare programs, including Medicare Advantage and Medicaid.
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Preparation of Medicare/Medicaid cost reports and related engagements. As an intern at FORVIS, you will gain valuable experience that may help you decide whether you want to start your career in audit or tax, or even whether public accounting is right for you.
InternExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. The MDS Coordinator will be responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc.
Full-timeExpandApply NowActive JobUpdated 15 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. As a Medical Records Coordinator, you will be responsible for assisting as needed in the day-to-day HIM departmental clerical activities (e.g. working the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, resolving unbilled accounts, facilitating the physician suspension process, etc.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Possesses at least 6+ years recent experience with Medicare and/or Medicaid Part A, B, & DME claims, coding, and reimbursement procedures, service and coverage policies, coordination of benefits, as well as provider and beneficiary eligibility.
TemporaryRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Ensures compliance to all applicable laws, regulations, and accreditation standards, such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), and Occupational Safety and Health Administration (OSHA.
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1+ years of experience with long term care services and support, Medicaid or Medicare. Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, or providers' offices.
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Bachelor's degree or equivalent experience required; Master's Degree or Juris Doctorate (JD) preferred. Reporting to the SVP, Chief Corporate Ethics and Compliance Officer, the VP Corporate Compliance is responsible for planning, developing, and enforcing compliance programs for Baylor Scott and White Health (BSWH), which includes varied compliance risk-based functions and programs such as hospital regulatory compliance, provider compliance, research compliance, third party compliance and other compliance activities.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Responsibilities The Residential Support Staff Member is responsible for providing residential support services for the Home and Community-Based Service (HCS) and ICF-IDD program participants. Facilitates inclusion in community activities, use of natural supports, social interaction, participation in leisure activities, and development of socially valued behavior.
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medicaid job in Dallas, TX
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