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1 + years' experience in healthcare setting, preferably in home health, medical office, or related field. Verifies Medicare/Medicaid patient eligibility and obtain initial authorizations for services.
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Knowledge of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems. Execute on HEDIS measure campaigns and other quality initiatives as directed by the Market Medical Director (MMD) and Associate Medical Director (AMD.
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It includes Asante Ashland Community Hospital in Ashland, Asante Rogue Regional Medical Center in Medford, Asante Three Rivers Medical Center in Grants Pass, Asante Physician Partners throughout the Rogue Valley, and additional health care partnerships.
Full-timeExpandUpdated 11 days ago - UpvoteDownvoteShare Job
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We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
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This job engages in generalist (RSW) social work practice in the medical setting based upon social work theory, knowledge, ethics, methods to restore or enhance social, psychosocial or biopsychosocial functioning, and problem solving skills with patients and their caregivers.
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Ottumwa Regional Health Center provides a wide range of health services, including emergency medicine, critical care services, medical/surgical, acute rehabilitation, obstetrics, and pediatrics, as well as specialty services such as cardiac catheterization, diagnostic and therapeutic radiological services, wound care, pain clinic, sleep lab, pathology, and so much more.
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Patient Financial Specialist - Spohn Medical Offices. Responsible to ensure successful implementation of Governmental Regulatory Billing changes, including but not limited to Medicare OPPS effective August 1, 2000.
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The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a five-star hospital for Overall Quality and The Leapfrog Group awarded Stamford Hospital an "A" for patient safety.
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Experience with ARIA/Varian Medical Systems preferred. Two years of medical billing experience in a physicians’ office or clinic, preferably with Radiation Oncology. Background with Medi-Cal, Medicare, managed care, and PPO insurance.
$26.85 - $35.41 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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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Demonstrates basic knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers. The Patient Access Representative is responsible for the verification and collection of patient demographic and insurance information by direct data entry to the electronic medical record during the scheduling/pre-admit or admission process prior to discharge.
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Completion of an emergency medical technician program or. Per Centers for Medicare & Medicaid Services (CMS) regulations, all McLaren employees must be vaccinated for COVID-19 by January 4, 2022.
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Become a part of our caring community and help us put health firstCenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas.
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Demonstrate understanding of vehicle equipment operation and maintenance (e.g., identify/report equipment issues and problems) -Demonstrate understanding of relevant medical equipment operation and maintenance (e.g., EKG; PFT; DPN; VPT; ABI; Holter.
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Engaging with community-based programs to effectively address members' non-medical and social needs. Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D, DHCS and DMHC.
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