Care, Commercial, Medicare, and Medicaid Preparing/Submitting appeals related to denied services Analyze payer denials... and/or collections and regulations. Work requires understanding of the requirements of Medicaid, Medicare and insurance billing. Work...
provisions for a TennCare, Medicaid, or other related health insurance organization is preferred. Excellent written and oral... management Experience working in or with Medicaid or disability related programs Strong work ethic and self-motived...
, technical specifications, test results and provide system documentation for new and revised processes. Assures Medicaid...
enrollment and file maintenance for Medicaid programs. Process Description: Process to completion 100 percent of assigned...
for Medicaid recipients to determine if the service falls within the scope of coverage of the Medicaid Program and NYS Regulation... and represents the NYS Medicaid Prior Approval Department via telephone. Knowledgeable of NYCRR Title 10 and 18 regulations...
liaison between the Behavioral Health Administration (BHA) Finance Team, the Data & Evaluation Team and the Medicaid...
by candidate and supervisor. Role: Communications and Training Specialist - Behavioral Health Administration and (MMIS) Medicaid... state's Medicaid office (Healthcare Policy and Financing [HCPF]) and the Office of Behavioral Health (OBH). The Medicaid...
This position manages the overall CMS Systems Certification process for NC Medicaid and serves as the CMS Certification Expert..., technical teams, vendors, contract and budget offices, and other key stakeholders to support the NC Medicaid, Medicaid...
Electronic Visit Verification (EVV) - functions of the system to allow for real time verification of all Medicaid funded...
explanations of hospice services, the palliative care model, Medicare/Medicaid benefits, and financial responsibilities. Help...