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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. In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house.
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Assist with the Medicaid Eligibility vendor reconciliation, as requested. 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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Demonstrates proficiency in Microsoft Office applications required. If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call.
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Performs assigned charge reviews (governmental, corporate, insurance defense, patient requested, collections, denials, focused review, SPAEs, cosmetics, etc.) The Revenue Integrity Analyst Register Nurse (RN) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation.
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Advise on relevant federal and state laws, including but not limited to fraud and abuse laws (i.e. Anti-kickback Statute, Stark, Civil Monetary Penalties Law, False Claims Act), licensing and accreditation, HIPAA/HITECH, EMTALA, digital health, telehealth/telemedicine, medical staff/peer review issues, healthcare compliance matters, billing, reimbursement and claims issues (to include Medicare/Medicaid.
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The Assistant Statistical Analyst serves as a back-up to the Statistical Analysts and ensures that audits of Local Department of Social Services (LDSS) cases in the Supplemental Nutrition Assistance Program (SNAP), Medicaid (MC) Program, and other designated benefit programs are entered and transmitted accurately and timely according to federal mandates and state guidelines.
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Provide therapy under supervision of licensed SLP collecting quantitative data for goals, documenting for Medicaid billing and maintaining attendance of provision of services. A person with a TEA certificate who is not licensed may not be a supervisor of a licensed speech-language pathology assistant.
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The Behavioral Health Director will be based in Virginia and will also lead the development of new products and services in Humana's Medicaid BH delivery model. Medicaid Managed Care clinical or behavioral health leadership experience.
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Serve as charge master liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Referral services for child, elder and pet care, home and auto repair, event planning and more.
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Prior experience in a human services environment supported by grants; knowledge of electronic health records/data management and Medicaid billing helpful. Excellent computer skills including use of Microsoft Office Word and Excel.
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Overview Under general direction from the Box Office/Parking Manager, the Assistant Manager- Box Office/Parking assists the Box Office/Parking Manager in managing all aspects of the Box Office, Parking and Utility Services operations.
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Assistant Shop Manager - Paid Training Available. Assume the responsibility and authority of the Shop Manager in the Shop Manager's absence. Over 90% of our Shop Managers started as Crew Members or Assistant Shop Managers.
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Manager, Risk Advisor Risk Management Business Risk Office. Professional security or risk management certifications, [Certified Risk Management Assurance (CRMA), Certified Regulatory Compliance Manager (CRCM), Certified Information Systems Security Manager (CISSM), Certified Information Security Manager (CISM), Certified Information Systems Security Professional (CISSP), Certified Information Systems Auditor (CISA), or Certified Risk & Information Systems Control (CRISC.
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Our Assistant Managers are responsible for managing and running shifts by coaching and training employees while ensuring the overall effectiveness of the operation focusing on people, sales, and profit.
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Work with Massey Office of Research Development and Massey members with writing SBIR and STTR grant applications. The Massey Cancer Center has an exciting opportunity for a M2M Assistant Director to join our team.
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medicaid job Title: office manager administrative assistant Company: A Fox Physical Therapy P C in Glen Allen, VA
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