or Associate Medical Director PREFERRED EXPERIENCE: Experience in a managed care organization is preferred. Medicaid managed...
deep knowledge of healthcare operations (preferably Medicaid), business processes Required Education: Bachelor...
more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA...
and procedures Prepare and submit clean claims to insurance carriers, including Medicare and Medicaid Review and resolve claim... athenahealth) Knowledge of Medicare, Medicaid, and commercial insurance billing requirements CPC, CCS, or equivalent medical...
. Certain positions may be subject to additional requirements under federal programs, including CMS, Medicare, and Medicaid...
Experience transforming and analyzing administrative healthcare data (e.g., Medicare/Medicaid, other claims-based or electronic...
and VytlOne’s Compliance Program. Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists. Complete...
if the patient has adequate benefits or qualifies for Medicaid, special programs or payment arrangements based on federal... patient on their benefits, patient liability and/or the process for applying for Medicaid, completion of the financial...
necessary criteria for admission to various care settings and Medicare's/Medicaid's reimbursement methods for different levels...
of Microsoft Office programs, and ability to learn new programs Experience with Medicare, Medicaid, or other insurance preferred...