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Documentation meets all third-payer (Medicare, PPO, Work Comp and HMO) and regulatory requirements. Master's Degree; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Speech-Language Pathologist - CA Speech-Language Pathology & Audiology & Hearing Aid Dispensers Board; Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) - The American Speech-Language-Hearing Association (ASHA.
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You will also serve as a Subject Matter Expert for Medicare Advantage risk adjustment. Knowledge of the Medicare Advantage STARS program and NCQA technical specifications. As a key leader within our Medicare Advantage team, you will develop and execute of strategies, programs, and projects while managing key performance indicators to drive operational excellence.
$78,800 - $175,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Completes Medicare Compliance and obtains ABN if necessary. Obtains pre-certification, referral or authorization number and updates patients file. Performs required pre-certification, credit referral or deposit collection.
$37,600 - $56,400 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Knowledge of healthcare payor processes, including those of government programs such as Medicare, Medicaid, and 340B, and the reimbursement or finance related matters, including but not limited to claim disputes, cost reporting, coding, discounts and rebates, educational and research grants, personal services relationships, gifts and business courtesies, etc.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The hospitals provide healthcare services reimbursed by Medicare, Medi-Cal, traditional insurance plans, PPO, HMO and under capitated arrangements. The facilities are Medicare and Medi-Cal certified and accredited by the Joint Commission on Accreditation of Healthcare Organizations.
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Maintains internal database of Medicare marketing materials; includes but is not limited to data entry, data validation, and executing monthly QA processes. Utilizes HPMS interface to upload and track Healthcare Foundation Health Plan Medicare marketing materials.
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Imperial Health Plan of California, Inc. is approved by California Department of Managed Health Care to offer full-service Medicare Advantage coverage, including a Medicare Advantage Prescription Drug plan, and a Chronic Condition Special needs plan over numerous counties in California.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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We are looking for a part-time Nurse Practitioner or Physician Assistant to supervise some of our medicare patients for their hyperbaric oxygen sessions. We will be enrolling you as a medicare provider.
$70 - $90 an hourPart-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Demonstrated knowledge of case management, discharge planning, transition of care, transfer coordination; Medicare, Medicaid, Title 22, NCQA, JCAHO, URAC, and other federal/state/local regulations.
$148,800 - $192,500 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare and other populations. We are seeking a highly skilled and compassionate Nurse Practitioner to join our Advantmed provider network.
$120,000 - $150,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Responsible for assisting Medi-Cal, Medicare Advantage, AIM and Covered CA patients with enrolling into health plan coverage. Responsible for providing patients with information and education on Medi-Cal, Medicare and Covered CA Managed Care options and on the health plan enrollment process.
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Managing Medicare Medical Review and Denials process in conjunction with Director of Rehabilitation, the facility team, and therapy staff. Education: Master’s Degree in Speech-Language Pathology from an accredited SLP program Experience: 2-3 years experience in a skilled nursing facility rehab environment or equivalent preferred.
$47 - $60 an hourPart-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Complete concurrent review in Meditech daily on insurance, non-funded & MediCal patients, every other day for Medicare patients. Knowledge of healthcare payor systems and benefits: HMO, PPO, Worker s Comp, Medicare guidelines and Medi-cal.
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Other Benefits: Transportation passes for employees and/or eligible dependents; Medicare; Tuition reimbursement; credit union membership; SDI; Deferred Compensation Plan; 401(K) Thrift plan; EAP; Medical and Dependent Care Flexible Spending Accounts; Flexible work schedules; and Jury Duty Pay.
$109,346 - $136,698ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Pediatric intensive care nurse, intensive care nurse, pediatric nurse, PICU, intensive care, PICU RN, pediatric care, pediatric, registered nurse, RN, R.N., nursing, nurse, healthcare, health care.
Full-timeExpandApply NowActive JobUpdated 7 days ago
medicare job Title: visiting nurse association Company: Visiting Nurse Association Of Central Jersey in Los Angeles, CA
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