Highlights: Location: Spartanburg, SC Patient Base: Pediatric care, primarily Medicaid with some PPO patients Work Schedule...
Medicare and Medicaid regulations. May be requested by a supervisor to fill in for the other nurses. Conduct in initial...
Must possess or be able to obtain Denti-Cal/Medicaid and Delta Dental credentialing within 90 days Assistance...
all Medicare and Medicaid product and services are being tested for compliance with program regulations, insurance regulations...+ years Medicaid, Medicare or commercial Managed Care required Prior experience working with federal and state regulatory...
and Medicaid Program Integrity Programs. You will play a crucial role in overseeing pro.gram integrity tasks, researching Medicare... and Medicaid policy, conducting data linkage and program integrity analyses, analyzing trends in Medicare payment systems...
and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility...
: Expansive Commercial, Medicare, and/or Medicaid knowledge. Minimum of 5 years related experience, proven and proficient...
and Medicaid Services (CMS) website at...
, claims and billing processes. · Comprehensive knowledge of Government (Medicare/Medicaid, etc.) & Commercial coverage...
, claims and billing processes. · Comprehensive knowledge of Government (Medicare/Medicaid, etc.) & Commercial coverage...