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The Eligibility Assistant staff are front desk staff who are responsible for helping collect paperwork, processing or “pushing” applications and assisting clients who are applying and/or receiving public assistance among other administrative tasks.
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Will be responsible for reviewing and processing all Medicare bad debt for Huntsville Hospital Health System and provide to Accounting for the Medicare cost report which includes reviewing the Medicaid cross over reports.
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This practice specializes in Elder Law which includes MassHealth/Medicaid Applications, Estate Planning, and Probate with some Guardianship and Conservatorship work. Job SummaryThis position provides administrative support to all aspects of the law firm’s operations with an emphasis on client interactions, sending and processing letters and correspondence, and general office organization.
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Manages, coordinates and evaluates all elements of laboratory services in assigned specialties of the Laboratory (Hematology, Chemistry, Microbiology, Blood Bank, Phlebotomy, Specimen Processing, Immunology, Pathology etc.
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Monitors for inquiry requests from the Department of Managed Health Care (DMHC), Medicare Complaint Tracking Module (CTM) from the Centers for Medicare Medicaid Services (CMS), the Medicare Quality Improvement Organization (QIO) and the State Hearing Office from Department of Social Services (DSS.
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Primary responsibilities include reviewing and processing Medicaid, provider enrollment applications according to Rhode Island Medicaid approved enrollment guidelines, ACA, and other federal requirements and procedures.
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The Sterile Processing Assistant Manager maintains records to track instrument orders, track preventative maintenance for sterile processing equipment and monitors / prepares reports for infection control monthly.
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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We are looking for a motivated performer to join our Business Office team as a Collections Specialist, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.
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The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company.
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Knowledge of how to interpret a managed care contract, Medicare and Medicaid and Workers Compensation claims is a must. We are looking for a top performer with an extensive knowledge of billing, collections and reimbursement of claims processing.
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Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services self-funded employee health benefit plan.
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The ideal candidate will have expertise in Python Databricks SQL and Databricks Workflows along with domain experience in Medicare and Medicaid Claims Claims and Payer. Develop and optimize data solutions using Python Databricks SQL and Databricks Workflows to enhance healthcare data processing.
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JOB REQUIREMENTSRequired: High school diploma or GED3 years’ experience in financial advising, claims processing, collections, customer service, revenue cycle positions that including: admitting, patient accounting, prior authorizations, or pre-registration.
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Regulatory Compliance Assurance: Stay updated on Medicare and Medicaid regulations, guidelines, and requirements related to SNP claims processing and billing. In-depth knowledge of Medicare and Medicaid regulations, policies, and procedures governing claims processing and billing.
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