Cms jobs in Clifton, NJCreate job alerts

This position is responsible for ensuring that Medicare Advantage membership enrollment is in sync by reconciling CMS enrollment records and Horizon enrollment records via review of Daily Transaction ...

... CMS) guidelines, as applicable. Essential Functions/Responsibilities * Provides patient care to Wound Care Center patients and handles patient intake and discharge processes as assigned and according ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

ICD-10 Guidelines; and CMS Correct Coding. The incumbent supports investigators related to Medical Procedures and CPT Coding issues and fraudulent activity. The incumbent will participate in ...

Collaborates and educates the medical staff on appropriate utilization review guidelines and documentation in accordance with CMS regulations and Commercial payors guidelines. Monitors and intervenes ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

... CMS (i.e., Litify, Needles, etc.) If you have 10+ years of experience in prelitigation case management for personal injury cases, a keen eye for detail, and the ability to prioritize tasks ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

... CMS) guidelines, as applicable. Essential Functions/Responsibilities * Provides patient care to Wound Care Center patients and handles patient intake and discharge processes as assigned and according ...

The ability to apply knowledge of the Organ Procurement Transplant Network (OPTN), and Centers for Medicate/Medicaid Services (CMS) Conditions of Participation (CoP) for Transplant Programs, and CBMC ...

The ability to apply knowledge of the Organ Procurement Transplant Network (OPTN), and Centers for Medicate/Medicaid Services (CMS) Conditions of Participation (CoP) for Transplant Programs, and CBMC ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

Knowledge of CMS Regulations and Knowledge of Nationally Accepted Guidelines such as MCG and InterQual * Excellent Communication and Interpersonal Skills * Proficient Computer Skills * Strong ...

Knowledge of CMS Regulations and Knowledge of Nationally Accepted Guidelines such as MCG and InterQual * Excellent Communication and Interpersonal Skills * Proficient Computer Skills * Strong ...

Ongoing support and education by physicians and our admin team with documentation, billing & coding, CMS compliance, and other best practices If this sounds like the opportunity for you then please ...

... CMS experience

... CMS) guidelines, as applicable. Essential Functions/Responsibilities * Proficient in all responsibilities related to Case Management. May be required to provide case management to a group of patients ...

Experience with CMS tools. * Exceptional partner relations skills. Understand content partner needs and translate to executable actions for internal teams. * Experience with mobile marketing ...

... CMS experience

... CMS experience

CMS regulations and changes (EDPS, Risk Adjustment Payment Model Changes). Education/Experience * Bachelor's degree preferred from an accredited college or university preferably in Computer Science ...

Previous experience using a CMS (Case Management System) such as Litify, Needles/NEOS, Clio, File Vine * Certification or Past Work Experience in Personal Injury Prelitigation Services * Bilingual ...

Ongoing support and education by physicians and our admin team with documentation, billing & coding, CMS compliance, and other best practices If this sounds like the opportunity for you then please ...