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This requires expertise in medical terminology, CPT coding, ICD-10 coding, workers compensation, commercial insurances, and Medicare billing and collections. Our spacious, state-of-the-art, ambulatory surgical facility is Medicare certified and equipped to perform the highest quality level of care for the hand.
ExpandApply NowActive JobUpdated 13 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.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Your primary objective will be to assess the overall health and well-being of Medicare beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
ExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. MD or DO AND Successful completion of an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) accredited residency in general surgery or a Royal College of Physicians and Surgeons of Canada (FRCSC/FRCPC) residency training.
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Regulatory Compliance: Ensure compliance with all federal, state, and local regulations, as well as accreditation standards set forth by organizations such as The Joint Commission (TJC) and the Centers for Medicare Medicaid Services (CMS.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Key Duties and Responsibilities Conduct comprehensive annual wellness evaluations for traditional Medicare beneficiaries enrolled in the ACO REACH program, focusing on elderly and vulnerable individuals residing in disadvantaged areas.
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Under the supervision of the Director of Health Education Programs, the Certified Application Assistor is responsible for serving and helping individuals and their families understand their medical coverage options, determine eligibility and enroll in an affordable health insurance option such as Covered California, Medi-Cal, Medicare, etc.
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License, Certification, RegistrationCertified Registered Nurse Anesthetist (California) required at hireRegistered Nurse License (California) required at hire from Centers for Medicare & Medicaid ServicesNational Provider Identifier required at hireBasic Life SupportAdvanced Cardiac Life SupportAdditional Requirements:Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.
$109.66 - $141.88 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Managing Medicare Medical Review and Denials process in conjunction with Director of Rehabilitation, the facility, and therapy staff. Managing Medicare Medical Review and Denials process in conjunction with Director of Rehabilitation, the facility, and therapy staff.
Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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The CRS manages the overall resident assessment process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required.
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Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medical reimbursement, as required. Healthcare, Dental, VisionPaid-Time OffPosition DescriptionThe MDS Coordinator will be responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc.
$30 - $35 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Proficient general office skills (typing, computer, fax, filing, multiple phone line)Neat personal appearance with pleasing manner and interpersonal skills · Strong communication skills with capacity to make independent decisions · Medicare/Medicaid and insurance billing, bookkeeping or medical office experience preferredContinuing EducationAs designated by management to include company in services and off-site training programs as appropriate to industry and position.
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Knowledge of financing mechanisms such as Medicare, Medicaid, and Prospective Payment. PACE staff are leaders in the “aging in place” industry and we have had the honor of serving Fresno, Bakersfield and Orange County seniors and their families/caregivers.
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QUALIFICATIONS Masters of Social Work required from a school accredited by the Council on Social Work Education, unless grandfathered in per the 2008 Medicare Hospice Condition of Participation At least one year social work experience in a health care setting.
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medicare job in Fresno, CA
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