and psychiatric services. Determines patient's eligibility imder Medicare/Medicaid/I'ricare and prepares forms. Assists the... Specialist: Uses different computer systems to determine and verify Medicare/Medicaid/Tricare and third-party eligibility...
& Medicaid Services (CMS), and leads the Training Branch. Key responsibilities include: Analyzing CMS reports to identify...
on Medicare/Medicaid and other financial assistance programs available to the residents. Participate in IHCC allowed activities...
and regulatory requirements for Medicare, Medicaid and commercial payers, including risk adjustment compliance. Advising on disputes...
,including CMS, Medicare, and Medicaid regulations, as well as state-specificlicensing or regulatory agencies. Screening...
operations to ensure compliance with state regulations, licensing requirements, Medicaid Waiver standards, HCBS expectations..., residential operations, Medicaid/CIH/HCBS Waiver services, and compliance standards in accordance to IDOH and CARF. Technical...
, NCQA, state Medicaid/Exchange). Ensure that analysis packages supporting are complete, well‑organized, and ready... and application of CMS program requirements (e.g., Medicare, Medicaid, ACA Marketplace) preferred. Experience analyzing...
. Additionally, the Eligibility Specialist is responsible for handling inbound calls from Medicaid, SNAP, and TANF applicants...
. Additionally, the Eligibility Specialist is responsible for handling inbound calls from Medicaid, SNAP, and TANF applicants...
. Knowledge and Skills: Requires knowledge of medical terminology, Preferred – Medicaid CM. Requires Good Oral and Written...