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Perform complex Medicare cost report audits, serving as an in-charge auditor assisting other auditors assigned to the audit. Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement.
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Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devices Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
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Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
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Manipulates and extracts Medicare, Medicaid, and other healthcare claims data stored in Cloud environment using appropriate software such as SAS, Snowflake, Python, R, SQL, and other software as appropriate for the task.
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Assesses, via electronic systems, patient’s insurance plans and benefits, such as MassHealth eligibility and Medicare benefits and facilitates coordination with Patient Financial ServicesPrepares, explains to patients, and documents delivery of the Medicare Important Message and Medicare Outpatient Observation Notice.
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As a Medicare Sales Support Manager, you will be responsible for driving and delivering growth and retention results for our Medicare Advantage program. Job DescriptionUse Your Strengths at Wellmark as a Medicare Sales Support Manager.
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About the roleThe Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work with management to meet communicated single and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing Risk Adjustment processes.
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Officially we title this job a BOM or Business Office Manager, but in other centers it may be called a Medicare / Medicaid Biller or Accounts Receivable Coordinator or even a Financial Services Rep. This is NOT a remote / 'work from home' position.
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Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice. In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form.
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We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Working toward relevant host systems certifications preferred, such as: A Security, Linux , VCP, CCA, HP ASE, MCP, MCTS, IBM Certified System Administrator (AIX, iSeries, WebSphere) and/or VMWare System Certification.
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Senior R programmer with RWD experience and required experience in CMS data (Medicaid, Medicare, etc). Must have hands-on RWD/RWE experience with CMS data, large-scale administrative claims data sources (e.g., MarketScan, Optum, Medicare LDS SAF, Komodo claims), and EHR.
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About your jobThe High Speed Steel Sales Manager (HSS SM) has full responsibility to manage our business in the high speed steel round tool product areas. Your ProfileMust possess good business skills and acumen including negotiation, planning, follow up, change management and people managementMust have extensive knowledge of the high speed steel sales cycle, including buyer behaviors, channel demand, competitor landscape.
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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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The Community Outreach Specialist is an outside healthcare sales representative who is responsible for achieving goals through generating sales leads of potential Medicare eligible Seniors as prospect patients, managing them through the pipeline ultimately to become patients of Sage Health.
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A Route Sales Representative (RSR) is responsible for ordering, sales, and delivery of fresh baked products. With 2022 sales of $ billion, and as one of the leading producers of packaged bakery goods in the United States, Flowers Foods brings passion to the table.
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medicare sales jobs Company: Assurance
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