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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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Cannot be under any exclusions or sanctions from Medicare/Medicaid. We are seeking a Family Practice Physician to provide healthcare services at one of our many healthcare facilities. Cannot be under any exclusions or sanctions from Medicare/Medicaid.
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Bellville St. Joseph Health Center is certified by the U.S. Department of Health and Human Services (Medicare) and participates in the Medicaid program. The hospital is a member of the Texas Hospital Association, the American Hospital Association, and the Texas Organization of Rural and Community Hospitals (TORCH.
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Knowledge of regulations related to Medicare, Medicaid, and commercial insurance. Knowledge of regulations related to Medicare, Medicaid, and commercial insurance. This role is pivotal to ensure a smooth and efficient daily workflow for providers, front desk staff, back office staff and virtual employees.
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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Serve as a resource to territory's accounts and Janssen Biotech staff regarding local, regional and national payer policies; reimbursement regulations and processes (i.e., eligibility and benefit verification, pre-authorization, billing, coding, claims, and appeals/grievances); practice management; Medicare and Medicaid rules and regulations; OSHA; HIPAA; and state-specific clinical staff licensing / certification requirements for product compounding, admixture, administration and monitoring.
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Works closely with Finance to ensure proper billing, accounting, auditing, CPT coding, Medicare/Medicaid billing procedures and protocols are followed. Manages, coordinates and evaluates all elements of laboratory services in assigned specialties of the Laboratory (Hematology, Chemistry, Microbiology, Blood Bank, Phlebotomy, Specimen Processing, Immunology, Pathology etc.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Local, regional and national payer policies; reimbursement regulations and processes (i.e., eligibility and benefit verification, pre-authorization, billing, coding, claims, and appeals/grievances); practice management; Medicare and Medicaid rules and regulations; OSHA; HIPAA; and state-specific clinical staff licensing / certification requirements for product compounding, admixture, administration and monitoring.
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Demonstrated knowledge and experience in payer (Medicare, Medicare Part D, Medicaid, and Private) policies, reimbursement process / coverage, Specialty Pharmacies, and health care legislative environment.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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At Houston Methodist, the CBO Regulatory Compliance Specialist is responsible for working with Houston Methodist's Corporate Central Business Office (CBO) leadership, to assess, track, monitor, document progress and status of management action plans and maintain completion of compliance recommendations set forth by audits from Center for Medicare/Medicaid Services (CMS), other applicable regulatory agencies, and/or Houston Methodist Internal Audit compliance reviews.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR.
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Three + years leadership experience managing follow up and billing teams, Medicare, Medicaid collections and billing experience, strong revenue cycle management (high volume), recent supervisor/manager experience, Epic, reporting, presentation skills, personable personality is needed.
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We seek a nurse professional with strong people skills to work with our patients to establish short term and long term care planning, ensure appropriate reimbursement by Medicare, Medicaid, and other insurance plans, follow up to make sure patient care is appropriate and patient goals are being met, and work with our facility team to create continous improvement of the services we provide.
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Must have extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc. Endoscopy Center of Bergen County located in Paramus, NJ. United Surgical Partners International is a privately held company that specializes in the development and operation of Ambulatory Surgical Facilities in the U.S. We provide first-class surgical services for local communities and recognize our employees as our number one assets.
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medicare medicaid jobs in Houston, TX
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