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Adena Pike Medical Center (AMPC) is a 5-star hospital rated by the Centers for Medicare and Medicaid Services (CMS). Hiking, fishing, hunting, camping, boating, and swimming are available at Pike Lake State Park, Lake White State Park, and Long's Retreat.
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Facilitate the ongoing eligibility of consumers for services including medical eligibility, knowledge of private insurance benefits, Social Security, Medicaid, Medicare, Kansas Brain Injury waiver, and other funding options.
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Familiarity with mental health issues, HIV/AIDS, and state and federal laws regarding disability benefits (SSI, SSDI, OHIPP, ADAP, Covered California, Medi-Cal, Medicare, etc.) Helps clients apply for public disability benefits such as SSI, SSDI, and CAPI as well as address other health insurance and related issues including Medicare and Medi-Cal. Advocates for clients throughout the claims process, negotiating with SSA, disability analysts, Medi-Cal, and Covered California as needed.
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Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. PALS: Children Services, Cardiovascular Lab, Emergency Department, GI Lab, Interventional Radiology, Surgical Services Pre-Op and Recovery Room.
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Accountable for the overall integration, management and implementation of the Medicare Risk Adjustment Program across HCSC (i.e. network management, customer service, clinical services, information technology, and finance departments.
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The ideal candidate will possess skills to maximize reimbursement as well as ensure Medicare compliance. The RN MDS Coordinator may be responsible for managing short term managed care cases. Job Description:RN MDS Coordinator leads the MDS department, assists in coordinating discharge planning as well as assessing short term residents.
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Experience with Medicare, Medicaid and Retail/Small Group Risk Adjustment process. Job SummaryThis position is responsible for the overall management and implementation of various initiatives including, but not limited to, Risk Adjustment Programs, Accountable responsibilities include the overall development, refinement, maintenance, monitoring and oversight of Medicare, Medicaid and Retail/Small Group risk adjustment initiatives and operations.
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Experience:Prior HCC/HHS experience with Medicare Risk Adjustment with three (3) years’ experience in medical coding. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”The Capital BlueCross Government Programs Risk Adjustment coding position is a unique position that combines knowledge and experience in risk adjustment coding, Medicare and Government regulations, Medicare Advantage risk adjustment model, HHS ACA risk adjustment models, and RADV and HRADV experience.
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Candidate would be comfortable treating a widely diversified patient mix (youth sports, work comp, post op, Medicare) Our outpatient centers treat primarily ortho with rapidly growing specialty areas such as TMD, concussion management, pelvic health, lymphedema management, vestibular, and work comp based services.
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Ensures timely completion of all trainings required by local, state, and federal regulatory entities, such as Pima County, Arizona Health Care Cost Containment System (AHCCCS), and Centers for Medicare & Medicaid Services (CMS.
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To ensure accurate reporting of statistical and financial data reported on Medicare Cost Report. 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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The programs the AVP will have oversight for include but are not limited to: MACRA/MIPS, 21st Century CURES, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced Alternative Payment Models (AAPM); Medicare Advantage; and commercial payer value programs.
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Medicare Advantage (MA) risk adjustment is responsible for the development and management of pricing, forecasting, and reporting architecture related to CMS risk-adjustable revenue for Medicare related products within Emerging Markets.
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Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge. Partner with Billing Specialists to ensure accurate processing and billing of Medicare, Medicaid, Managed Care, Worker's Compensation, other government programs, motor vehicle, personal injury and protections, third party payer experience, self-payer/uninsured and commercial insurance processing patient claims in accordance with payer requirements and organization policy.
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Requirements: MINIMUM QUALIFICATIONS A Master's Degree in Audiology;Minimum three years of clinical experience with Audiological Evaluations, Hearing Aid Dispensing; assessment across the age range;Current ASHA Certificate of Clinical Competence in Audiology (ASHA CCC-A);Be eligible for NYS licensure in Audiology and Hearing Aid Dispenser license;Be eligible for enrollment with major third-party insurances, Medicare and Advantage Plans.
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medicare sales jobs Company: Assurance Independent Agents
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To ATS or not to ATS
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6 Best Ways to End a Cover Letter with Examples
Including a cover letter with your resume is a great way to introduce yourself to the hiring manager, tell them why you’re the ideal fit for the role, and provide context about your personal situation. A strong cover letter will give you an advantage over other applicants. But it’s important that you structure it properly and write it powerfully so that it carries an impact. This article will discuss how to end a cover letter effectively so you catch the eye of a hiring manager and increase your odds of landing an interview. Read on to learn more.
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Most times, we have to do more than submit a "sugar-coated" resume to land our dream jobs. Going the extra mile to follow up on your job application can increase your chances of employment. Additionally, it may even help you get confirmation sooner on whether you are seriously being considered for the job or not.
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Remote work used to be a thing of the future. However, with social, economic, and cultural events taking place across the country, it has now evolved into something that both job searchers AND companies are benefiting from. Remote work is multifaceted and can come in handy in a variety of situations. So, to help your small business take advantage of all of remote work's benefits, here is a short guide on how to hire remote workers.
How to Address a Cover Letter With Examples
It’s easy to get caught up in focusing on your resume – how it looks, what it says, and whether it’s going to land you a job interview. Because there is a big focus on building the perfect resume, job searchers often overlook the importance of a high-quality cover letter. Your cover letter plays a huge role in your first impression. It humanizes you and provides context for your resume.
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No matter how happy we are with our jobs, there are days when we feel overwhelmed and want to call out of work. No, don't feel guilty. It's expected because we're humans, and we can't control the uncertainties of life. But the problem lies in how to call out of work without seeming uncommitted to work, especially if you seldom get work-free days.
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Depending on where you are in your career, you might have first-hand experience with seasonal employment. Seasonal employment can be a great way to expand your skill set and earn extra cash while helping businesses meet seasonal increases in demand.