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About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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The Senior DME billing code compliance and appeals specialist will play a crucial role in ensuring that our DME product complies with the billing codes and regulations set by Medicare and all federally funded payers.
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A Medicare Sales Representative focuses on helping people who are eligible for Medicare find a plan that meets their needs and aids them with the enrollment process. What Does a Medicare Sales Representative Do.
$75,000 - $140,000 a yearFull-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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We have a proven lead system that will keep you busy all year long, not just during Medicare season of AEP and OEP. There is no cost for leads, no administrative fees, and no cost of training. Medicare Advantage experience is a must.
$75,000 - $140,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Whether our clients need a Medicare Supplement or an Advantage Plan, Long Term Care planning, Life Insurance, Annuities, Medicaid help, or Income and Future Planning, we have access to a wide selection of programs to meet their needs.
$75,000 - $140,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Job Description :Audit & Reimbursement III - Medicare Cost Report AuditLocations: This is a virtual position; the ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.
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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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You perform your sales duties following the Centers for Medicare and Medicaid Services (CMS) Medicare marketing guidelines. Your responsibilities include working with seniors to determine their eligibility for Medicare benefits.
$75,000 - $140,000 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The Medicare Sales Representative ensures that Communicare Medicare Advantage products are the choice for Medicare eligible individuals in their assigned territory. The Medicare Sales Representative is responsible for following up on leads, identifying and attending community outreach events targeted for seniors, establishing relationships and present opportunities with provider groups, hospitals and clinics, and for self-generating leads.
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A demonstrated working knowledge of Local, State & Federal laws and regulations pertaining to health insurance, investigations & legal processes (Commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.
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Reporting to the SVP, Sales & Client Management, the Director, Group Medicare Sales, is an integral member of the leadership team—driving BCBSMA’s purposeful re-entry into the Group Medicare Advantage Market.
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The role will have responsibility for Group Medicare Advantage and Medicare Supplementary new sales, retention, growth and account management strategies for all market segments, including meeting/exceeding long, medium and short-term objectives.
$89ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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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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The Medicare Compliance Analyst & Support Specialist position is an essential role within Fallon Health's Medicare compliance program and includes activities such as the collection and review of data universes for accuracy to protocols, data analysis to identify risks and trends, developing data visualization and dashboards to portray information to Fallon Health Leadership up to the Audit & Compliance Committee of the Board.
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Accountable for developing prospective and retrospective risk adjustment review processes that are in compliance with all government regulations to drive accurate coding for Florida Blue Medicare in support of accurate risk capture; efforts will serve in partnership with FBM Stars and HEDIS quality programs.
ExpandApply NowActive JobUpdated 13 days ago
medicare job Title: compliance specialist Company: Metroplus Health Plan
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