), the Medicaid Agency for South Carolina. This is a rebid position supporting Medicaid system testing initiatives. The... knowledge of healthcare operations (Medicaid preferred) Proficiency in Atlassian tools (JIRA and Confluence) Experience...
must have a DEA License, Medicare & Medicaid IDs, and be bilingual in Spanish. Homecare experience is preferred, or the willingness...
candidate will have strong knowledge of Medicare, Medicaid, and managed care guidelines. Responsibilities Review new... and evaluate continued skilled coverage eligibility. Coordinate Medicare, Medicaid, and managed care documentation requirements...
LICENSED NEEDED: OR Job Specifics: Elem levels, caseload, with no medicaid need and no case management Client Contact: Cade...
, deductible, and out-of-pocket terms. Government Programs: Understanding of Medicare and Medicaid eligibility and claims... processing Preferred: Experience with CMS 1500 & UB forms;M\&R/Medicaid rework and adjustment claims. Soft Skills: Excellent...
candidate will have strong knowledge of Medicare, Medicaid, and managed care guidelines. Responsibilities Review new... and evaluate continued skilled coverage eligibility. Coordinate Medicare, Medicaid, and managed care documentation requirements...
eligibility. Coordinate Medicare, Medicaid, and managed care documentation requirements. Conduct concurrent reviews to support... Management, Case Management, or Skilled Nursing review processes preferred. Strong knowledge of Medicare, Medicaid, and managed...
candidate will have strong knowledge of Medicare, Medicaid, and managed care guidelines. Responsibilities Review new... and evaluate continued skilled coverage eligibility. Coordinate Medicare, Medicaid, and managed care documentation requirements...
eligibility. Coordinate Medicare, Medicaid, and managed care documentation requirements. Conduct concurrent reviews to support... Management, Case Management, or Skilled Nursing review processes preferred. Strong knowledge of Medicare, Medicaid, and managed...
of Medicare, Medicaid, managed care processes, and CMS guidelines. Key Responsibilities Review admissions for medical... eligibility. Coordinate Medicare, Medicaid, and managed care documentation requirements. Conduct concurrent reviews to support...