and/or responsible party of Medicare and Insurance coverage or non-coverage for resident. Verifies insurance coverage; assists... in response to requests from third party payers and Medicare for additional information and ensures responses are timely...
policies and tracking data. The Program Coordinator will report to the Director of Research. Essential Functions Design... and update department website information. May conduct research analysis data in order to track our grant holdings...
employed physician group in the Detroit market which includes month-end financial close, financial reporting and analysis... templates for physician terminations, and oversight of monthly billing to DMC Hospitals for physician call coverage and medical...
policies and tracking data. The Program Coordinator will report to the Director of Research. Essential Functions Design... and update department website information. May conduct research analysis data in order to track our grant holdings...
Company Description As a leader in Medicare health insurance distribution, Spring Venture Group guides people through... one of their most important life decisions — finding the right insurance coverage. We are on a mission to be the most trusted partner...
policy and coverage policies, conducting analysis on reimbursement potential on new and emerging technologies..., including applicable Federal, State and Commercial health policies impacting coding, coverage and payment. Primary...
and implement billing and coding strategies for clinical trial sites Create coverage analysis for IDE clinical trials to determine... with proper coding and billing procedures for study-related services Develop billing grids and coverage analysis documents...
Company Description As a leader in Medicare health insurance distribution, Spring Venture Group guides people through... one of their most important life decisions - finding the right insurance coverage. We are on a mission to be the most trusted partner...
Pharmacy Audits (claims, rebates, operational, Medicare, pre/post-implementation, etc.) to validate that the coverage... Data Analysis and Quality Assurance as requested. Interact directly with clients and respond to client requests, develop...
coding guidelines, and local coverage determinations. Ensure timely and accurate submissions for Medicare and Medicaid WRAP... or government programs (e.g., Medicare, Medicaid). Verify insurance eligibility and benefits for patients, as needed. Assist...
) Matching 401(k) Excellent medical, dental and vision coverage Life insurance Annual Employee Salary Increase and Incentive... Director of Case Management, the Nurse Case Manager will assess all patients within their defined geographical scope of service...
and other assessments. Data analysis includes the collection, graphing, and interpretation of data regarding each resident's behavior... program. Data analysis may be conducted through a variety of platforms such as an electronic health record, computer software...
but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. Facilitates communication.... Issues applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare...
and accreditation requirements including but not limited to the Centers for Medicare and Medicaid (CMS) and the Joint Commission (JC... actively in both conducting and coordinating in collaboration with the Executive Director of Medical Staff, Medical Education...
for Medicare and Medicaid Services) coverage policies required. Inpatient nursing or related field Education/Licensure... Management department. The position requires working with the aligned Medical Directors, Director of Medical Management...
. Interacts with hospital administrative teams and leaders., PHO Directors, Director of Case Management, Home Care Directors... utilization of resources, analysis of sentinel events and follow up on quality issues. Addresses issues of non-compliance...
and communities. To learn more about who we are at Point32Health, click . Job Summary Under the direction of the Director or Senior... recommendations for change by performing risk analysis and by using basic analytical and problem-solving capabilities to support the...
pricing and reporting, and commercial contracts pricing and analysis. This position will be responsible for reviewing sales... a detailed review of the Quarterly Non-FAMP, Medicare Average Selling Price (ASP) Annual Federal Ceiling Price (FCP) and various...
and objectives. In conjunction with Principal Investigator (PI) or Director, interpret and apply current research findings in area... of clinical specialty. In conjunction with PI and Director, report findings in professional journals and local, state...
and objectives. In conjunction with Principal Investigator (PI) or Director, interpret and apply current research findings in area... of clinical specialty. In conjunction with PI and Director, report findings in professional journals and local, state...