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- ...Management Professional (PMP), PMI-ACP, or Certified ScrumMaster (CSM). Prior experience on a Medicaid Enterprise System, MMIS, or NCTracks program, or another state Medicaid modular procurement. Working knowledge of CMS Streamlined Modular Certification (SMC), the CMS...SuggestedContract workFor contractorsRemote workWeekend work
- ...instructional design, education, adult learning, or public health. Prior training leadership on a Medicaid Enterprise System, MMIS, or NCTracks program, particularly provider enrollment, screening, or credentialing functionality. Familiarity with NCQA credentialing...SuggestedContract workRemote work
- ...in Speech-Language Pathology. Licensing: Active license issued by the North Carolina Board of Speech-Language Pathology. NPI and NCTracks: Active NPI number and NCTracks profile. Insurance: Professional Liability insurance with coverage of $1 million per occurrence...SuggestedFor contractorsWork at officeLocal area
- ...care and behavioral health service lines. This position requires in-depth knowledge of CPT coding, NC Medicaid billing rules, and NCTracks workflows. The Billing Specialist works closely with clinical and administrative staff to ensure revenue cycle integrity, regulatory...SuggestedWork at officeRemote workWork from homeFlexible hours1 day per week
- ...other billing-related projects as needed. Qualifications 3-5+ years of medical billing experience. Experience with NC Medicaid and NCTracks strongly preferred. Knowledge of ICD-10 and CPT coding , CMS-1500, and UB-04. Experience with insurance claim appeals and denial...SuggestedTemporary workWork at office
- ...of all denied authorizations and re-authorizations. The counselor will track each Medicaid/ Medicare recipient's eligibility via NCTRACKS monthly to review individual Medicaid/ Medicare eligibility. The counselor will monitor the submission of CCA, PCP, and claims to...SuggestedRelocationMonday to Friday
- ...courteously and respectfully with fellow employees, clients, and patients. Working knowledge of North Carolina Medicaid billing and the NCTracks system. Physical Demands The physical demands described here are representative of those that must be met by an employee to...SuggestedContract workWork at office
- ..., follow-up, denials, and appeals to ensure timely reimbursement. Requirements include 3-5+ years in medical billing, NC Medicaid/NCTracks familiarity, ICD-10/CPT coding knowledge, and strong communication skills. A related degree is preferred. Clinicient experience is...Suggested
- ...through timely filing, follow-up, denials handling, and appeals. Ideal candidates have NC Medicaid, Medicare Part A & B, private insurance claims experience, familiarity with NCTracks, Clinicient, ICD-10/CPT coding, and strong communication and #J-18808-Ljbffr Compleat KidzSuggested
- ..., faxed document scanned directly to the desktop, or patient notification Reviews received Medicaid prescription rejections in NCTracks Applies clinical and pharmaceutical criteria for processing prior authorization requests in a timely manner for imaging needs....SuggestedTemporary workLocal areaFlexible hours
- ...Licensure Board, criminal background check clearance, not listed in the NC Health Care Abuse Registry, active NPI number, CAQH, and NCTracks profile, and professional liability insurance coverage of at least $1 million/$3 million. Experience: Experience working with...SuggestedFor contractorsLocal areaRelocation package
- ...intervention, technician supervision, caregiver training, and ASD services. NPI / Medicaid Enrollment Active NPI and NC Medicaid/NCTracks enrollment or eligibility when assigned to bill/render Medicaid services; in-state enrollment as required by current policy....Suggested16 hoursImmediate start
- ...all denied authorizations and re-authorizations. The counselor will track each Medicaid/ Medicare recipient's eligibility via NCTRACKS monthly to review individual Medicaid/ Medicare eligibility. The counselor will monitor the submission of CCA, PCP, and claims...SuggestedFull timeMonday to Friday
- ...authorizations to avoid loss or lapse of Medicaid coverage for the client. Track each Medicaid/Medicare recipient eligibility via NCTRACKS monthly. Verify Medicaid/Medicare intakes to ensure their self-reporting coverage is current and the correct coverage for...SuggestedLocal area
- ...state billing requirements, candidates for this remote position must hold an active individual provider enrollment with NC Medicaid (NCTracks). Requirements: Qualities that fit this opportunity ~ Must hold an active individual provider enrollment with NC Medicaid (...SuggestedRemote jobFull timeTemporary workWork at officeMonday to FridayFlexible hoursDay shift
$161.5k - $218.5k
...experience US Citizenship Required No The NCMMIS - Director of Fiscal Agent Operations The NCMMIS program built and operates the NCTracks system, a multi-payer claims adjudication system for the State of North Carolina and is the Medicaid fiscal agent for NC DHHS. The...Temporary workImmediate startRemote workWorldwideFlexible hoursGeneral Dynamics Information Technology
Raleigh, NC4 days ago- ...Project Management Professional (PMP) through PMI. • Prior contract management experience on a North Carolina Medicaid program (NCTracks, NC MES/MIMS modules) or another state Medicaid Enterprise System modular procurement. • Familiarity with CMS Streamlined...Contract workFor contractorsFor subcontractorInterim roleWork at officeRemote work
Innosoft Corporation
Raleigh, NC6 days ago
