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Key Responsibilities Utilize knowledge & skills set to accurately complete Medicare, Medi-Cal, Tricare, Champ VA, Medicaid Programs & other non-specific governmental & commercial (BCBS, Aetna, UHC, etc.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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DescriptionMedical Director Opportunity - Medicare Risk Adjustment HCC Review - Metro Ohio. JOB DESCRIPTION Medical DirectorROLE: The Medical Director reviews outpatient/inpatient medical records for proper documentation relevant to Medicare Risk Adjustment reimbursement payment system.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Inspire is already credentialed with several insurance providers (BCBS, UnitedHealthCare, Optum, Aetna, Humana, Medicare ~ currently only a few clinicians), we just need someone to help keep our process running smoothly and as profitably as possible.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Must be prior-credentialed with NC payers- BCBS, Medicaid, and Medicare- can start prior to completion of credentialing. EMR – eClinicalWorks. TinkBird is a comprehensive healthcare recruiting and job placement firm for locum tenens, travel nursing and permanent medical placements.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The sales representatives are then able to offer a wide range of Under 65 products through a variety of partner companies including but not limited to: United Healthcare, Nat Gen, BCBS, Anthem, Ambetter, Cigna, Kaiser, Molina, Bright Health, Oscar.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials required. Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials required. The Revenue Cycle Lead , reporting to the Revenue Cycle Manager, acts as a subject matter expert for all revenue cycle functions and activities.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Various groups within Financial Clearance sector: BCBS, Aetna, Cigna, Humana, Eligibility, Pre-Registration, Government (Medicaid/Medicare), Specialty, Cancer/Chemo. Various groups within Financial Clearance sector: BCBS, Aetna, Cigna, Humana, Eligibility, Pre-Registration, Government (Medicaid/Medicare), Specialty, Cancer/Chemo.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials preferred. Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials preferred. Example: Availity, Navinet, preferred.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Knowledge of insurance plans providers- BCBS, UHC, Aetna/Cigna or self-funded/commercial providers required. The Independent Resolution Specialist (Claims) is required to perform collection activities on NSA Negotiations (We will teach you) and prepare complex Center for Medicare Services requests.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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BCBS Medical PPO/HMO Plans| BCBS Dental |VSP Vision| Tuition Reimbursement up to $1,500 per year|11 Paid Holidays and 18 Days of Paid Time Off | 8 sick days. Experience with Medicare, Medicaid, third-party insurance, copayments, etc.
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Reviews institutional and professional claims for appropriate use of procedure, modifiers and diagnostic codes to ensure maximum reimbursement using electronic billing systems and in-house computer systems to edit, modify, or change information on the UB04 and CMS-1500 claim forms for Medicare, Medicare Advantage, Medicaid/TennCare, BCBS, Commercial, and/or other third-party payers.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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We serve a diverse array of payers including commercial insurance (Aetna, BCBS, Cigna, Lifewise, Molina, United Healthcare, Moda, Regence, Premera, First Choice Health, Kaiser PPO, PacificSource), medicare, and medicaid (Molina, Community Health Plan of Washington, United, Coordinated Care, and Amerigroup) and would like to add a therapist to our contracts.
Part-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Role: Project Manager (Medicare/Medicaid) Location: Remote Duration: 12+ Months Job Description: Should Have worked in following areas 10+ years' experience in project management PMP certification will be great to have Experience working on AGILE and Waterfall methodologies Should have worked as PM for health care clients ( BCBS/IBC/Anthem /Medica etc.
Full-timeRemoteExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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Solid experience in healthcare clients like – Anthem/ CareSource/CVS / BCBS. Good experience on Medicaid and Medicare process flows. Solid experience in healthcare clients like – Anthem/ CareSource/CVS / BCBS.
RemoteExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Primary duties are to review, resolve, and obtain payment on claims billed to Medicare Replacement, BCBS, Private Insurance and Medicaid / Medicaid Managed Care plans. The claims billed to insurances include but are not limited to: AARP, Aetna, Amerigroup, AmeriHealth, Anthem, Argus Vision, BCBS, Cigna, CCA, Communicare, Connecticare, Davis Vision, Envolve/Opticare, EyeMed, Fallon, Humana, KeyCare Advantage, March Vision, Medica, MEDEX, Molina, Optumcare/Anthem, Priority Health, Spectera, Superior Vision, Tricare, Tufts, UCARE, United Healthcare (UHC), WellCare, State Medicaid, and Medicaid Managed Care plans in 17+ states.
Full-timeExpandApply NowActive JobUpdated 4 days ago
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