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Compliance oversight for "Schedule A" request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA. Oversee Compliance functions to include but not limited to: Benefit Timeline Checklist Healthcare Reform Checklist Self-Funded SPD Checklist Stop Loss Checklist Admin Agreement Checklist.
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The position is responsible for following all compliance, Medicare, and HIPAA policies. Armor Physical Therapy, an Alliance Physical Therapy Partner, is looking for a Front Office Coordinator to join our team.
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Analyze the impact and application of federal and state health care laws and regulations, including Anti-Kickback statute, Stark law, False Claims Act, HIPAA, fraud and abuse laws, the Affordable Care Act, and Medicare related regulations in relation to the clinical, strategic, and business operations of the Company.
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Requires knowledge of all aspects of payer reimbursement, including Medicare, AHCCCS, commercial, managed care, worker's compensation, and self-pay. Must be familiar with health care billing and collection, general knowledge of medical records and coding compliance, Fair Debt Collection Practices Act, and legal compliance.
$86,444 - $127,504 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Marshall Dennehey, a leading AM Law 200 civil defense law firm with more than 60 years of dedicated service to our corporate, insurance and individual clients, is seeking a Medicare Attorney with one (1) to four (4) years of experience to join our growing Medicare Compliance group within our Workers' Compensation Department.
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The Senior Legal Counsel for Health will be responsible for general legal support for WEX’s Health line of business on complex commercial transactions, primarily supporting WEX’s Health commercial team and engaging collaboratively with other legal SMEs, finance, operations and compliance teams as well as external advisers such as outside counsel.
$146,000 - $194,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ensures compliance with current federal, state, and/or local laws and regulations including Centers for Medicaid and Medicare Services (CMS), and United Network for Organ Sharing (UNOS.
$26.82 - $29.8 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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1) Practice is consistently current and in accordance with policies and procedures, professional practice standards, State Practice Act/Rules and Regulations (e.g. Arkansas State Board of Nursing, American Nurses Association, Code of Ethics for Nursing and regulatory bodies such as the Joint Commission and Centers for Medicare and Medicaid.
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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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Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice and Professional Standards of Nursing Practice, and agency specific policies and procedures.
$37 - $42 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Responsible for Claims Department and Provider Services Department compliance with all Medicare and Medi-Cal regulatory requirements. Participates in all Claims Department and Provider Disputes compliance audits, such as Medicare Finance audit, DMHC claims audit, CMS data validation audit, etc.
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Demonstrate comprehensive knowledge of federal and state regulations, compliance requirements, and filing procedures impacting employee benefits programs, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, Medicare, etc.
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The Referral Center will then transition the patient to their preferred home-based provider which will provide seamless and consistent patient transitions and continuum of care, reduce length of stay for patients transitioning to post-acute care, automate compliance and standardization of Medicare discharge planning requirements, and increase more timely communication between post-acute providers and Sentara hospitals about the discharge plan.
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Document compliance with Renewal Timeline and task completion by appropriate team member. Check the Insurance Contract & Compliance. Ensure Account Manager is performing all tasks as outlined in the MMA Assistant Account Manager or Account Manager Job Description.
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Keywords: Monster, Talroo - Allied Health, LPN, Referral Coordinator, Intake Coordinator, Licensed Practical Nurse. HS - High School Grad or Equivalent (Required), TS - Trade School Graduate: Licensed Practical Nurse (Required)Licensed Practical Nurse (LPN) - Nursing License - Compact/Multi-State License, Licensed Practical Nurse (LPN) Single State - Nursing License - North Carolina, Licensed Practical Nurse (LPN) Single State - Nursing License - VirginiaClinical, Customer Service.
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