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Key Words: community health advisor, enrollment, Medicaid, Medicare, Medi-Cal, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health, health coach, aide, community lead, community advocate, nonprofit, non-profit, social worker, case worker, housing counselor, human service worker, Navigator, Assistor, Connecter, Promotora, Marketing, Sales, Bilingual, Spanish.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The primary duties of this role encompasses overseeing sales and enrollment processes to ensure compliance with Client regulations for Medicare Advantage operations. Compliance Monitoring: Ensure agents comply with Client regulations and guidelines for selling and enrolling Medicare Advantage plans.
ExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Medicare Services Coordinator is the point of contact for an in-depth orientation and services coordination in the first 90 days following enrollment including making welcome calls, explaining and providing coordination of the health plan benefits and services available; providing explanation of plan benefits, identifying service needs such as transportation to and from appointments and ensuring the member more easily accesses needed care with minimal barriers.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Department: GHP Medicare Sales Division. Meets or exceed predetermined membership and enrollment goals and appointment setting goals. Job Title: Medicare Call Center Sales Representative Licensed.
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Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and How-To documents.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Provides support with implementing changes made by Centers for Medicare and Medicaid Services (CMS) to the Enhanced Direct Enrollment (EDE) program. Resolves escalated issues on the post-enrollment technical insurance carrier processes (e.g., 834 files, termination issues, payment issues, and reconciliation.
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To the Audit team to ensure compliance with the Centers for Medicare and Medicaid Services (CMS) and Health and Human Services (HHS) risk adjustment data submission activities that support accurate medical record documentation, claim, pharmacy, and enrollment data transmission.
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General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred. Exact job experience is considered any of the above tasks in a Medicare certified.
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As independent advisors, we work with leading insurance providers to offer a wide range of plans, including individual and family policies, Medicare supplements, and group coverage for businesses.
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Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required. Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs.
$16 - $18 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Customer Service Specialists works in a fast-paced environment answering inbound calls and making outbound calls. Complete insurance verification to determine patient's eligibility, coverage, co-insurances, and deductibles.
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Ensure Medicare beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their enrollment application, timing of ID card receipt, etc.
$33,761.52 - $73,149.97 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. Actively listens to patients and handle stressful situations with compassion and empathy.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Customer Service Specialist. Must be able to navigate through multiple online EMR systems to obtain applicable documentation. Enter and review all pertinent information in EMR system including authorizations and expiration dates.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for Medicare Enrollment within 6 months of hire. Job Summary:The Nurse Practitioner Inpatient Navigator will serve in a Full Time capacity providing coordination of care to patients within the teaching division of hospital medicine at SUNY Upstate Downtown Campus.
Full-timeExpandApply NowActive JobUpdated 6 days ago
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