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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. Compliance oversight for "Schedule A" request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA.
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Ensure Account Manager is performing all tasks as outlined in the MMA Assistant Account Manager or Account Manager Job Description. Assist bSwift team with set-up of client web site as directed by Benefits Operations Manager.
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Knowledge of all pertinent federal and state regulations, filing and compliance requirements both adopted and pending affecting team member benefit programs, including ERISA, COBRA, FMLA, ADA, Section 125, Medicare and DOL requirements.
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These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Become a part of our caring community and help us put health first.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Prominence Medicare Advantage is seeking a data-driven Telephonic Sales Manager to join the Medicare Sales Team, to level up our Telesales team, increase lead conversion and transform how we manage our lead data.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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AHCCCS (Arizona Health Care Cost Control System) plans, FQHC, UDS, government reporting, RVU, and Medicare reimbursement methodology. + Report Medicare Cost Reporting, UDS Reporting, and other required external report outs.
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Insurance verification for all payer types: Medicare, Medicaid, Mycare, Managed Care, etc. Candidate must have a working knowledge of Medicare and Medicaid Payers and eligibility within the scope of a Skilled Nursing Facility.
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Maintain current knowledge of applicable managed care, Medicare and state Medicaid regulations, reimbursement systems and methodology. Education and/or Experience: RN license in the state Director of Nursing, management or supervisor experience in long-term care, restorative or geriatric nursing.
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Coordinates, identifies, and/or initiates significant change MDS’ Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the American Association of Nursing Assessment Coordinators (AANAC) requirements.
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In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare and other populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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1+ year of clinical experience as a Nurse Practitioner or Physician Assistant Comfortable managing a primarily Medicare-aged patient population. You will serve as a medical professional to evaluate and provide a clear, comprehensive, and concise review of Veterans Affairs (VA) Compensation and Pension Disability claims.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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We bill Medicare, Medicaid and Third Party payers to allow patients the ability to focus on their health. UroStat Healthcare is a national provider of DME (Medical Disposable Supplies) to individuals at home.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
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Greeting customers following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to Medicare billing, federal laws and regulations, and other specific standards and guidelines regarding clinical documentation requirements, procedure and diagnosis coding.
$19.15 - $22 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago
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