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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.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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If employed at one of our senior living communities that receives Medicare or Medicaid funding, team members must not be considered an "Excluded Party" as defined by the U.S. Department of Health and Human Services, any state Medicaid Programs, and any additional federal and state government contract programs.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Health Center Medical Billing Specialist shall be responsible for all aspects of Health Center Billing, including HMO and Medicare Billing, Accounts Receivable, and A/R Cash Receipts. Maintain separate files for Medicare remittances, hospice payments, Medicare denial letters, and monthly training on Noridian for changes.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Documentation meets all third-payer (Medicare, PPO, Work Comp and HMO) and regulatory requirements. California Speech-Language Pathologist - CA Speech-Language Pathology & Audiology & Hearing Aid Dispensers Board -REQUIRED.
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Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
$77,602 - $99,774 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Managing Medicare Medical Review and Denials process in conjunction with Director of Rehabilitation, the facility team, and therapy staff. Managing Medicare Medical Review and Denials process in conjunction with Director of Rehabilitation, the facility team, and therapy staff.
$46 - $55 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D, DHCS and DMHC.
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Knowledge of FDA and Medicare regulations related to clinical trials including trials involving Investigational New Drugs (INDs) and Investigational Device Exemptions (IDEs). Knowledge of Medicare coverage decisions, benefit policy manuals and billing processes.
$62,250 - $110,000 a yearRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Qualifications:Graduate of an approved curriculum in Speech Language Pathology, is able to practice unencumbered, is in good standing with all regulatory agencies and licensing boards, has working knowledge of Medicare and other payer sources, full knowledge of residents rights, exudes professionalism in presentation and able to work on multitasks at the same time.
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Works closely with all departments necessary to ensure that the processes, programs, and services are accomplished in a timely and efficient manner by CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D and Special Needs Plan (SNP) and DHCS – Medical agency.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Performs collection follow-up duties on specific financial classifications, such as commercial insurance, self-pay, Medicare and Medicaid claims. Contacts insurance companies regarding posting payments and collection agencies regarding payment reports.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Uses payer resources (RTS) and websites to explore and access eligibility; initiates referrals for varies insurance such as Medi-Cal, Medicare, Manage Care, Commercial, etc. Uses payer resources (RTS) and websites to explore and access eligibility; initiates referrals for varies insurance such as Medi-Cal, Medicare, Manage Care, Commercial, etc.
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Additional Duties and Responsibilities: Maintains established departmental policies and procedures, objectives, quality assurance, safety, environmental and infection control standards. Education Required: High School Diploma or GED Equivalent Certifications Preferred: CA Drivers License and vehicle insuranceMedical Assistant Certification Verbal and Written Skills Required to Perform the Job: Bilingual (Spanish-English) required; must have good handwriting and verbal communication skills.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Follows claims through Medicare audits and appeals to ensure prompt payment and any refunds are issued promptly. Participates in the monthly triple-check process for Medicare Part A & B claims.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The UM Coordinator should possess a solid understanding and experience of UM processes, including Medicare, Commercial, and Medi-Cal programs, benefits, and policies. Strong understanding of Medicare, Commercial health plan benefits.
Full-timeExpandUpdated 8 days ago
medicare job in Chula Vista, CA
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