-disciplinary teams Complete Medicaid billing paperwork as required Adapt strategies to maximize students' functional...
Track student progress and assist with Medicaid billing and data collection (training provided) QUALIFICATIONS Must meet...
experience with Medicaid billing in a school setting preferred Key Responsibilities: Deliver occupational therapy services... and progress Develop and document individualized OT goals and track student achievement Complete Medicaid billing paperwork...
involving commercial, Medicare Advantage, Medicaid, and other payer authorization requirements Assess authorization status... such as InterQual, MCG, or equivalent review standards Deep familiarity with commercial, Medicare Advantage, and Medicaid prior...
involving Medicare, Medicaid, commercial payers, professional claims, facility claims, and payer-specific requirements Evaluate... Experience with Medicare, Medicaid, commercial payer billing rules, claim edits, and rejection workflows Proficiency...
recommendations for accuracy and effectiveness Assess clinical and technical appeal content across commercial, Medicare, Medicaid..., and Medicaid payers Strong understanding of clinical and technical appeal processes, including peer-to-peer reviews and external...
workflows, Medicaid eligibility review, self-pay resolution, payment plan administration, and patient financial advocacy... involving charity care screening, financial assistance applications, Medicaid eligibility, and self-pay resolution Evaluate...
adjustment professionals experienced in HCC coding, Medicare Advantage risk adjustment, Medicaid managed care, ACA risk... Advantage, Medicaid managed care, and ACA risk adjustment programs Evaluate AI-generated HCC coding assignments and risk...
across commercial, Medicare, Medicaid, and managed care payers Evaluate AI-generated follow-up recommendations, claim status inquiry..., Medicaid, commercial payer, and managed care claim processing expectations Review accounts receivable KPIs such as days...
& Payer Criteria Evaluation Review specialty drug access workflows across commercial, Medicare Part D, and Medicaid payer...