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Oversight of Medicaid claims, Tricare and Coverage Gap processing operations with Third Party vendor and coordination of quarterly cash flow monitoring with Treasury. Insure approval workflow of Medicaid, Tricare and Coverage Gap claims follows approval matrix and completes within payment due date cycle.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Priority issue areas include: Medicaid, CHIP, private insurance, children’s mental health, pediatric workforce, Children’s Hospital Graduate Medicaid Education Program, access to pediatric drugs, federal 340B Drug Pricing Program, TRICARE, price transparency, pediatric quality measurement, and pediatric disaster preparedness.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Familiarity with Department of Defense (DoD), Federal, State, non-profit healthcare systems and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care system, Medicare, Medicaid and the Veterans Administration (VA) is desired.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Key Responsibilities Utilize knowledge & skills set to accurately complete Medicare, Medi-Cal, Tricare, Champ VA, Medicaid Programs & other non-specific governmental & commercial (BCBS, Aetna, UHC, etc.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Under the direction of the PFS Manager, the Senior Government Billing and Collections Representative is responsible for a variety of payer yield activities related to accounts reimbursed by a government payer, including Medicare, Medicaid, TRICARE, and Veterans Administration, among others.
RemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Maintain knowledge of State and Federal specific laws, Tricare/Governmental programs, Medical Insurance Providers, Medicaid Waiver Programs and ensure compliance with regulations. We specialize in serving young learners and families with Medicaid benefits.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Demonstrates accurate use of insurance verification tools (i.e. Passport Next Bar/OneSource, NM Medicaid portal, Presbyterian Portal, Availity web portal, etc.) Facilitate appointments with Medicaid Eligibility Workers and/or Financial Counselors, if necessary.
Part-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Our operations corporate support center and flagship clinics are in beautiful North Carolina - convenient to the mountains, beaches, professional sports teams, leading universities and world-class dining and entertainment.
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Perform DME billing for Medicare, Medicaid, Tricare, and other private insurances. Required - High School diploma or equivalent plus 2 years' experience in Medicare/Medicaid and commercial billing - preferably in Durable Medical Equipment setting.
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Hospice Physician represents and warrants that they have never been excluded from participation in any federally funded health care program including, without limitation, Medicare, Medicaid, or TRICARE, nor has been convicted or found to have violated any federal or state fraud and abuse law or illegal remuneration law.
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Medicare and Medicaid Eligibility: Hospice Physician is and shall always remain a qualified Medicare and Medicaid provider. Complete timesheets and maintain documentation on all Medical Director Services provided in accordance with Hospice's policies and procedures, prudent record-keeping procedures, and applicable Medicare and Medicaid regulations and program guidelines.
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Highlights Healthcare provides diagnosis and early intervention ABA therapy services to bring meaningful and positive change to children with autism. Ability to obtain and maintain a clear criminal record/fingerprint clearance from the Department of Justice and Federal Bureau of Investigation per HHC and/or program requirements.
$75,000 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Maintains a workable knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial: monitoring those accounts to meet specifications. Communicates with the AR Manager regarding problem areas.
Full-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company.
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An intermediate level of knowledge with Local, State & Federal laws and regulations pertaining to health insurance (Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy and/or commercial health insurance.
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tricare medicaid jobs
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