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- ...Bartlett Hospital is a Five Star CMS leading healthcare provider dedicated to delivering high-quality, patient-centered care. We take pride in our commitment to advanced medical practice and compassionate service to our community. We are seeking a skilled and motivated...CmsRelocation package
- ...accurately and in a timely manner Monitor and work through claim denials, rejections, and appeals Prepare and mail paper claims including CMS-1500 forms and Medicaid crossover claims requiring Medicare EOB attachments Review patient accounts or insurance aging for...CmsFull timePrivate practiceMonday to Friday
- ...in accordance with BBAHC Medical Staff Bylaws, HRSA Section 330 requirements (as applicable), Rural Health Clinic (RHC) regulations, CMS Conditions of Participation (as applicable), accreditation standards, and Federal Tort Claims Act (FTCA) requirements. QUALIFICATIONS...CmsWeekend workAfternoon shift
- ...0, medical terminology and anatomy Workable knowledge and understanding of payer EOB's Workable knowledge and understanding of CMS, Medicare, Medicaid and other payer guidelines Ability to interact with patients, patient representative, insurance companies and...CmsFull timeWork at officeMonday to FridayShift work
- ...dialysis training program, including demonstrated competency, within 12 weeks of hire. Must meet Center for Medicaid/Medicare Services (CMS)-approved national certification requirements within the CMS timeline. Certification must be maintained as current and in good...CmsRelocation packageFlexible hoursDay shift
$1,000 per month
Go further with the best Benefits & Perks Package our industry has to offer. We provide everything you need to ensure you are covered on and off the clock. Day One Health Coverage You are covered on day one when you take a full-time contract with ORNN. Our premium...CmsWeekly payFull timeContract workShift work- ...Knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid (CMS), AHIMA, and AAPC for assignment of diagnostic and procedural codes. Knowledge of the Privacy Act of 1974 and HIPAA Privacy Rule Act...CmsNight shift
$3,258 per week
...- Epic Experience (Required) - Acute Care Hospital Experience (Required, Behavioral Health not applicable) - Familiarity with CMS and HIPAA guidelines - Strong care coordination, discharge planning, and patient advocacy skills **Working Environment:** - **Patient...CmsZero hours contractImmediate startFlexible hoursShift workWeekend workDay shift$3,040 per week
...Responsibilities: Coordinate patient care plans and discharge planning Perform utilization review and ensure compliance with CMS guidelines Assess patient needs and arrange DME, post-acute services, and placements Collaborate with physicians, nursing...CmsMonday to FridayShift workWeekend workDay shift$3,160 per week
...coordination/ Discharge Planning Needs Assessment/ Order DME Plan of Care Utilize Milliman Guidelines* Regulatory CMS: Centers for Medicare and Medicaid Services HIPAA guidelines (Health Insurance Portability and Accountability Act) Acute Hospital...CmsWeekly payPermanent employmentContract workWork at officeMonday to FridayShift workWeekend work$3,422 per week
...psychiatric emergency patients Meet documentation standards for timeliness and accuracy using Meditech EMR and comply with hospital and CMS requirements Participate in hospital committees, quality improvement initiatives, and cross-disciplinary teams to enhance...CmsWeekly payPermanent employmentContract workTemporary workImmediate startShift workWeekend workDay shift$35.5 - $48.25 per hour
We have a new opening for a Registered Nurse - Case Manager at Joint Base Elmendorf-Richardson in Anchorage, AK. Core Duties: The duties include, but are not limited to the following; • Participate in all phases of the Case Management Program (CMP) and ensure ...CmsLocal areaRelocation packageMonday to Friday$34.15 - $47.93 per hour
...and submission of all required, regulatory and quality improvement data reports for various external and internal stakeholders such as CMS, Accrediting entities, the State of Alaska, IHS and HRSA, as well as the senior management team. Attest to the accuracy and...CmsTemporary workWork experience placement$72.7k
...compliance with business process requirements, regulatory requirements, and accreditation standards. Maintain current knowledge and adhere to CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management, including those published...CmsTemporary workWork at officeLocal areaRemote work- Company Highmark Inc. Job Summary This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral...CmsWork at officeLocal areaRemote workFlexible hours
$22.51 - $33.77 per hour
Billing Clerk 306 MAIN ST - KETCHIKAN, AK 99901 Overview Salary Range $22.51 - $33.77 Hourly Position Type Regular Full-Time Job Shift M-F 8am-5pm Category Revenue Cycle Description Job Summary Incumbent is responsible for accurate and timely preparation...CmsHourly payFull timeWork experience placementWork at officeShift work$32 - $42 per hour
Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network...CmsHourly payFull timeReliefRemote workRelocation packageFlexible hours$2,606 per week
...Experience : - Travel Experience Required : - Certifications : BLS*, ACM-RN*, AK RN licenseSkills : Acute Hospital, Care coordination, CMS: Centers for Medicare and Medicaid Services, Discharge Planning, HIPAA guidelines (Health Insurance Portability and Accountability...Cms16 hoursPermanent employmentContract workTemporary workZero hours contractWork at officeLocal areaShift workNight shiftWeekend work$57.7k
...business process requirements, regulatory requirements and accreditation standards. Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published...CmsTemporary workFor contractorsWork at officeLocal areaRemote work$65 - $74 per hour
...Knowledge & Skills Strong knowledge of case management and utilization review processes Familiarity with Milliman Guidelines and CMS/HIPAA regulatory expectations Proficient charting and documentation in Epic Care coordination and discharge planning expertise...CmsHourly payContract workSeasonal workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend workDay shift$223.8k - $313.1k
...context of regulatory compliance and assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources Learn Medicaid...CmsFull timeTemporary workApprenticeshipRemote workWeekend work$18.5 - $19 per hour
...Services Coordinator Schedule: M-F 530am-130pm, every other Saturday 530am-1030am Pay: $18.50-$19.00 Community Medical Services (CMS) is seeking a Client Services Coordinator to be the welcoming face of our clinic. Under the supervision of the Clinic Manager, you...CmsFull timeTemporary workWork at officeFlexible hoursShift workNight shift$50.14 - $70.35 per hour
...knowledge of the revenue cycle, facilities, and other infrastructure areas impacting the clinic. Knowledge of quality and accreditation, CMS, HIPAA, DNV and/or other governing body regulations. Knowledge of liability and risk management principles. Skills In Administrative,...CmsWork at office- ...functions. # Maintains appropriate patient record controls and statistics for prospective payment systems to ensure compliance with CMS and other regulatory agencies. # Responsible for gathering medical records for auditors, including contract auditors, RAC, PERM,...CmsPermanent employmentContract workWork experience placement
- ...and equipment. Maintains statistical information of referrals and treatments. Evaluates durable medical equipment/devices based on CMS criteria for medical necessity and facilitates acquisition of those items. Supervises, trains and delegates activities of support...CmsTemporary workImmediate startRelocation packageFlexible hours
$65 - $74 per hour
...families, clinical teams, and community resources to streamline care Perform timely Epic charting and documentation in compliance with CMS and HIPAA regulations Participate in interdisciplinary rounds and leverage support services (PT, pharmacy, social work, etc.) to...CmsHourly payPermanent employmentContract workWork at officeLocal areaRelocationMonday to FridayFlexible hoursShift workWeekend workDay shift- ...quality clinical care delivery through adopted clinical standards, policies, practices, protocols, and processes. Ensure compliance with CMS and other regulatory bodies, as applicable. This position coordinates regulatory surveys; continuous accreditation readiness...CmsTemporary workWork at officeImmediate startRelocation
- ...Hardware and Software: Nokia Metasolv Actellis Fujitsu Cisco WLC Ciena Turin/ TransNav Calix F5, C7, E7 / Calix CMS Ribbon Infinera BTI NEC Transmode Cisco ONS CLI software (putty, secureCRT, etc) Various DACS hardware (including...CmsWork experience placementImmediate startRemote workWork from homeHome officeShift workWeekend work
$60.8k - $82.9k
...trends. Provide actionable insights to leadership for decision-making. Compliance & Quality Assurance: Ensure systems align with CMS, HIPAA, and payer requirements. Respond to internal and external audit and data requests. Support staff with system use and...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office$78.4k - $107.8k
...Progressive experience with interoperability solutions in healthcare ~2+ years of experience working with NCQA HEDIS measures, PQA Measures, CMS Star Rating System and CAHPS/HOS survey system ~ Experience with SQL including the ability to create reports from scratch and run...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office



