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Handles correspondence related to Medicare, Medicaid, Blue Cross Blue Shield, Managed Care and Tenncare according to written procedure. Performs any and all duties as directed by Senior Representative, Appeals Supervisor and Accounts Receivable Manager.
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Negotiate and document a variety of commercial agreements, including provider agreements with insurance companies like Blue Cross Blue Shield and Etna as well as with local Medicare, clinical trial agreements, research study agreements, professional services agreements, supply agreements, material transfer agreements, confidentiality agreements, and other commercial agreements.
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Stays informed about changes in Medicare and Medicaid, Blue Cross/Blue Shield and other third party payors. At Sheridan Memorial Hospital, we are proud to have achieved the 5-Star Quality Rating, ranking us in the top 13.6% of hospitals rated by the Centers for Medicare and Medicaid Services.
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The wellness premium applies only to the Blue Cross Blue Shield Hospital Medical Group #14000 plan for non-Medicare eligible active and retired members, non-Medicare-eligible members on LOA or COBRA, and non-Medicare-eligible spouses on active or retired contracts.
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Mairagency.com About Us: The MAIR Agency offers for our career agents, a proven and established marketing plan that has resulted in our agency being consistently one of the top producing agencies for Blue Cross and Blue Shield of North Carolina® and earned the #1 Medicare Agency Award for multiple years.
$60,000 - $150,000 a yearFull-timeExpandUpdated 0 days ago - UpvoteDownvoteShare Job
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Effective 2024 we are pleased to offer our full-time employees a variety of medical coverage options through Anthem Blue Cross Blue Shield. Thorough understanding of ADRs (Additional Documentation Request) in both Managed Care and Medicare billing.
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Blue Cross/Blue Shield of Alabama Gold Plan Health Insurance (low cost!) Healthcare billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's.
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We partner with community leaders and organizations to make healthy living resources available to all Mississippians through the work of the Blue Cross & Blue Shield of Mississippi Foundation, our support of the arts and culture and our Team Blue volunteers.
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CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association.
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We accept BLUE CROSS/BLUE SHIELD, UPMC, AETNA, UNITED HEALTHCARE, MEDICARE Medicaid, AND MOST OTHER INSURANCES. We also provide care for patients at AHN SAINT VINCENT, UPMC HAMOT, and LECOM Millcreek Hospital and see patients from the tri-state area.
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Highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston.
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Blue Cross Blue Shield of Kansas invites any applicant and/or employee to review the Companys written Affirmative Action Plan. This plan is available for inspection upon request by contacting the EEO Office at (785)291-8639.
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MORE Benefits: Eligible employees may take advantage of a highly competitive benefits package including: Generous 403(b) retirement plan with 3% match to your contribution Health benefits thru Blue Cross Blue Shield, options for Vision, Dental & Flexible spending Paid vacation and sick time which increases with longevity, 2 personal days, 6 paid holidays.
Starting at $14 an hourExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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The Business Analyst Sr. is responsible for leading and/or supporting processes that ensure oversight and ongoing monitoring of Blue Cross Blue Shield of Michigan (BCBSM) Medicare Advantage and Part D programs.
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The EDI production supports all electronic claim production to various payers, including Medicare, Medi-Cal, Anthem Blue Cross, Blue Shield, and Change Healthcare. Knowledge of contracts, insurance billing requirements, UB04 claim form, worker's compensation, HMOs, PPOs, capitation, Medicare, Medi-Cal and HIPAA compliance program regulations.
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