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Submit your application for our Bilingual Medicaid Eligibility Advocate opening with Methodist Hospital today and find out what it truly means to be a part of the HCA Healthcare team. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
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Knowledge of nursing health care laws, rules, standards, and regulations, medical diagnoses and procedures, community health and nursing care principles, quality management, utilization management, health care needs and services for elderly and disabled; Medicaid waiver program standards, policies, and procedures and government regulations and oversight mechanisms.
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Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.
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Extensive knowledge of medical insurance billing and collections across Medicare, Medicaid and managed care including ICD-10 and HCPC coding and terminology. The VP, Revenue Cycle Management is responsible leading revenue cycle management functions for the organization and driving efficient, accurate and compliant billing activities to maximize reimbursement.
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Two (2) years' experience in medical office back-office operations with working knowledge of insurance verification, insurance carrier billing and billing regulations, and collection requirements by payors (i.e. Medicare, Medicaid, Private Insurance, and Maximum Monthly Fee (MMF.
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The Eligibility Specialist is responsible for assisting hospital patients with the completion of the application process for Medicaid. Emerus leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Health, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS and MultiCare.
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HCA Healthcare Co-Founder. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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Clinician will be either credentialed with United Healthcare, Cigna, BCBS, Alliance Medicaid, Partners Medicaid, Amerihealth, WellCare, Carolina Complete Health, and/or Healthy Blue or willing to pursue in order to provide care to our client population.
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1+ years of experience with long term care services and support, Medicaid or Medicare. Reliable transportation and the ability to travel in this 'assigned region' to visit Medicaid members in their homes and/or other settings, including community centers, hospitals, nursing facilities or providers' offices.
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VP, Medicaid Regional President - Texas Job in San Antonio, TX, 609027675 | CLevelCrossing.com. Apply Now For Free Associate VP, Digital Health Services. Apply Now For Free VP Data Science. Similar Jobs: AVP, Stars and Risk Adjustment National Medical Director.
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Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC.
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Credential(s) from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding]. Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding.
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The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies mentioned above (AHIMA and AAPC). Note: Valid credential(s) from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) will be accepted.
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The Eligibility Specialist not only acts as an advocate for the patient, but also serves as a liaison to other Team members and to client hospital in a collaborative effort to facilitate eligibility coverage for incurred medical expenses.
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They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services CMS Inpatient List). Specialized care includes orthopedic and surgical services, ICU, women s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more.
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medicaid job in San Antonio, TX
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