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See clients in our art therapy room) Though we do not require our providers to see Medicare patients, you must not have opted out from Medicare Have access to reliable and stable internet while working remotely; experience with Google Suite is a plus.
$42 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Review the Medicare, Managed Care, Medicare Advantage and Medicaid UB, CHAMPS, WebDenis. When you join us as the Business Office Manager at Regency at Livonia, youll manage the day to day office functions, provide assistance to guests and families with billing and insurance questions.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Assist with annual CMS updates and implementation of identified changes, and maintain knowledge of Medicare and Medicaid billing practices, coding guidelines, laws, and regulations. This Coding Auditor or Educator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate reimbursement for services across all practices/units (acute and ambulatory settings) to include review of accurate and timely assignment of ICD-10 CM/PCS, HCPCS/CPT codes.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Solid understanding of Medicare and Medicaid rules of billing related to transplant services. The Senior Financial Analyst will serve as the Solid Organ Transplant primary internal consultant responsible for providing critical analytical support for regulatory and financial implications of the Transplant components of the Medicare Cost Report (MCR.
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An active, independent California Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Clinical Psychologist Residence in California Though we do not require our providers to see Medicare patients, you must not have opted out from Medicare Have access to reliable and stable internet while working remotely; experience with Google Suite is a plus.
$68,000 - $100,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Senior DME billing code compliance and appeals specialist will play a crucial role in ensuring that our DME product complies with the billing codes and regulations set by Medicare and all federally funded payers.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Develop working knowledge of clinical quality measures (AMP and HEDIS) and Medicare Risk Adjustment (MRA). Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.
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An active, independent Arizona Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), or Licensed Professional Counselor (LPCC) Residence in Arizona Though we do not require our providers to see Medicare patients, you must not have opted out from Medicare Have access to reliable and stable internet while working remotely; experience with Google Suite is a plus.
$38 an hourFull-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Job Description - Senior Appeals Specialist-Medicare Advantage (2400193) Senior Appeals Specialist-Medicare Advantage. 5 years as an Appeals Specialist or equivalent experience in health insurance claims, customer service, billing, or related operations preferred.
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Strong interpersonal skills, good verbal and written communication skills and comprehensive knowledge of outpatient coding, CMS HCC, billing, VBC and regulatory requirements. The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients.
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Understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; strong knowledge of California and Federal payer regulations. Thorough understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; strong knowledge of California and Federal payer regulations.
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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
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Assist in the preparation of the Medicare Cost Report and the HRSA UDS report. | Responsible for revenue cycle management; works closely with the Billing Manager and ensures that all billing functions are performed according to policies and procedures.
Part-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories.
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