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Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems. Answer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.
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Medicare Tricare/Champus reports. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
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Connect with your Talent Advisor for additional specifics. Perform the calculations and analysis of accounts receivable valuation and third party reimbursement reporting, including cost report preparation, coordination of audits and monitoring of regulation changes.
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Educate providers on billing requirements of TRICARE to reduce claim problems. Apply appropriate provisions of TRICARE regulations, interpretations, and procedural directives in making determinations on eligibility and benefits to determine appropriate responses to inquiries.
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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. Maintain knowledge of State and Federal specific laws, Tricare/Governmental programs, Medical Insurance Providers, Medicaid Waiver Programs and ensure compliance with regulations.
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Highlights Healthcare provides diagnosis and early intervention ABA therapy services to bring meaningful and positive change to children with autism. 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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In 2021, WPS Health Solutions celebrates of making health insurance easier for those we serve. Customer Service Representative, fully remote, Start date March 28th. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad.
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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. Train and supervise a team of Student Analysts, BTs, and RBTs using telehealth.
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Root Cause Analysis (RCA) experience. Explore career opportunities across our ministry locations and within our corporate headquarters. Assist the manager and director with budgeting and modeling net patient service revenue.
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Health, dental insurance, Teladoc starts. For remote position, employee is required to meet remote worker requirements, including a designated work station, a wired (Ethernet) connection to the network, and a minimum of 10Mbps downstream connection with at least 1Mbps upstream (can be checked at.
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Responsible for supporting Federal Supply Schedule (FSS)/Veteran Affairs contracting and Tricare program. Manager Responsible for management of the Federal Supply Schedule/Veteran Affairs contracting and Tricare program.
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WPS Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. COVID-19 vaccination or WPS approval for an accommodation. is a leading not-for-profit health insurer in Wisconsin.
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Responsible for quarterly Tricare rebate payment calculation. Responsible for Quarterly IFF reporting to GSA. Solid problem-solving skills to resolve contract issues to the satisfaction of legal, sales & marketing, regulatory, vendors, and internal business partners.
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Responsible for weekly Federal Supply Schedule (FSS), tracking customer notification in Model N to determine if any follow ups with the Department of Veterans Affairs (VA) as needed. Proficiency in Model N Government Pricing system and FSS compliance.
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Submit claims for adjudication, correction, payment, or review as appropriate. U.S. citizenship is required for this position due to Department of Defense restrictions. Deal tactfully with people in a wide variety of situations to convey a favorable corporate image.
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tricare job
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