sending Letters of Representation to the appropriate parties. Navigate subrogation portals such as Medicare, Medicaid, Optum..., Medicare Advantage, Medicaid, State Health Plan, etc. Provider Communication: Regularly update provider balances (every 30...
source for patient’s health services. Initiates credit scoring to determine each patient’s eligibility for Medicaid... social worker and/or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring...
of commitment to the health, safety, and wellness of all staff and to be compliant with the Centers for Medicare and Medicaid...
related to CMS, state Medicaid, Medicare Advantage, NCQA, and other regulatory or accreditation requirements. Assist.... Strong understanding of healthcare delivery systems, managed care, Medicare, Medicaid, and population health programs. Demonstrated...
regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions...
. Completes Food and Nutrition reviews and Medicaid reviews as assigned. Completes applications and recertifications as assigned...
. This position requires an on-site, patient-facing presence across various OBH locations to assist patients with Medicaid enrollment..., or community-based patients to identify existing third-party coverage or assist in procuring documents for Medicaid or hospital...
to support analytic excellence, workforce development and business development for projects using Medicare, Medicaid, commercial... evaluations, advanced analytics, and implementation support for Medicare, Medicaid, and other federal and state health programs...
is responsible for ensuring that eligible individuals receive quality health and medical services, through either Medicaid Waiver..., including certified Medicaid Waiver providers. (14%) 3.Provides consultation and information for Investigative Agents in the...
for payer approval. Maintain accurate tracking logs for Medicaid, Medicare, Managed Medicaid, commercial insurance... within payer and regulatory timeframes. Prepare and organize documentation for Medicare, Medicaid, Managed Care, Department...