payer medicare manager jobs
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Lead Case Manager
Fairmont Regional Medical Center - Fairmont, WV
Directs admission, concurrent, and retrospective review activities of all payers. Four year RN degree Required (Current Registered Nurse License from State of...
Health Care Reimbursement Specialist
ActivStyle, Inc. - Minneapolis, MN
Medicare and Medicaid experience a plus. Must maintain communication with payers weekly using the following tools:....
RN Case Manager Home Health
Haven Home Care - Cleveland, OH
Knowledge of regulations pertaining to Home Care, Medicare, Medicaid, and private insurance/HMO payer sources....
Clinical Research Coverage Analyst
Hospital for Special Surgery - New York, NY
Working knowledge of the Centers for Medicare and Medicaid Services (CMS) Clinical Trial Policy. Collaborates with Research Managers, Study Team Personnel, and...
MSI International - John Day, OR
Case Manager RN Supervised by:. Possesses knowledge of Medicare, Medicaid and private insurance providers. Works with third party payers to validate need for...
Accounts Receivable Representative
Urgent Care - Exton, PA
Understanding payer specific requirements for submitting claims (i.e. This includes claims to commercial, Medicaid, Medicare, and private pay accounts....
Medical Payment Poster
PHYSICIAN PARTNERS OF AMERICA - Tampa, FL
Works collaboratively with Manager and other coding and reimbursement staff to research third party payer medical and administrative policy that may affect...
Pharmacy Utilization Manager
MMM Holdings LLC - San Juan, PR
Knowledge of the rules and regulations promulgated by the US Congress related to pharmacy benefits, specifically the new pharmacy benefits available to Medicare...
Case Manager Registered Nurse (RN) - Full Time (Days)
Lewis-Gale Medical Center - Salem, VA
Responsibilities of the RN Case Manager:. Applies Medicare Two Midnight rule as applicable. Performs admission and concurrent review for all payers and...
Case Manager Registered Nurse (RN) / Full Time Days
Las Palmas Medical Center - El Paso - El Paso, TX
Clinical Case Manager RN. Educates patient and family on case manager role and process for contacting the case manager for questions....