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Knowledge ofHMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation,commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
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Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors ( Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
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Obtains the maximum amount of reimbursement by evaluating claims at the contract rate with the use of the contract management tool for proper pricing (Examples: APC, DRG, APRDRG). $26 - $32/hour Job Duties: The Collector serves as the account representative for the hospital in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution.
$26 - $32 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Collector serves as the account representative for Hoag in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution. Additional Responsibilities: High Volume inbound call center environment for self-pay customer service related to Hospital and Physician billing.
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Must have the ability to read and interpret DD Form 1423s, Contract Data Requirements List as well as Data Item Descriptions; Work closely with an integrated product team; Develop and execute Data Management Plans; Develop and control CDRL delivery schedules and assignment matrices; Develop and maintain a repository of Government Furnished Information and an inventory of Government Furnished Equipment.
$95,000 - $140,000 a yearFull-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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All associates prior to commencing employment and once employed must not be considered an Excluded Party as defined by the Medicare and state Medicaid Programs as well as other federal and state government contract programs.
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Serving federal, state, & local government clients as well as public higher education institutions, our team of over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
$119,000 - $199,000 a yearFull-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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The Collector serves as the account representative for hospital in working with insurance companies, government payors, and/or patients for resolution of payments and accounts resolution. Has a strong understanding of the Revenue Cycle processes, from Patient Access (authorizations admissions) through Patient Financial Services (billing & collections), including procedures and policies.
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Additionally, they will carry out analytical and administrative duties to ensure that their specific assignment adheres to procurement/contracts policy, government contract codes, and other applicable statutes.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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The Collector serves as the account representative for resolving payments and accounts with insurance companies, government payors, and/or patients. They are responsible for completing assigned accounts within assigned work queues, maximizing reimbursement by evaluating claims at the contract rate, initiating appeals for underpayments, and handling payor and/or patient correspondence.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The position will be responsible for providing contract support for various CPFF, FFP, T&M, IDIQ Government (FAR/DFARS) contracts and Other Transaction Agreements. Experience with full life cycle contract management for CPFF, FFP, and T&M government and commercial contracts.
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The firm is the first to provide US Federal Government contract debt-financing which is structured around Federal contract awards, and to do so under the Dep of Defense ‘Trusted Capital Provider’ designation.
$80,000 - $90,000 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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As part of the Finance Revenue team, this position will support Managed Care Contracting for contract modeling and revenue impact analysis in support of negotiations, helping to identify underpayments, and tracking profitability within our managed care contracts.
$40.27 - $42.57 an hourExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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The IRS Pathways Recent Graduates Program offers developmental opportunities in the Federal Government intended to promote possible careers in the civil service to individuals, who have recently graduated from qualifying educational institutions or programs within the previous two (2) years, or who intend to successfully complete their educational requirements within 9 months of their application date.
Part-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Working knowledge of Epic Resolute, Eric Care, and Epic CPOE. Interprets Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to ensure proper payment as well as assist and educate patients and colleagues with understanding of benefit plans.
Full-timeExpandApply NowActive JobUpdated 19 days ago
contract government jobs in Huntington Beach, CA
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