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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 6 days ago - UpvoteDownvoteShare Job
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Update regulatory fields in demographic data with patient choices on regulatory forms such as Notice of Privacy Practice (NPP), Advanced Directive for Health Care (ADHC), Health Information Exchange (HIE.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Request and input Primary Care Provider (PCP) information and initiate Health Information Exchange (HIE) process as appropriate. Based upon COA patient review, update appropriate Centricity fields related to status of ADHC, No Publish, Notice of Privacy Practices, and Patient Rights.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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We accept Medicare, Medi-Cal, Tricare, and most HMOs and commercial PPOs. We are seeking a healthcare professional that is passionate about quality care and making a difference in our patients lives.
$20 - $22 an hourFull-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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O Ensures achievement of net revenue targets through contract negotiations with Commercial HMO/PPO payers, California Medi-Cal, Medicare Advantage Plans, County Medical Services, TriCare, and other purchasers.
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Provide care coordination using specific criteria and guidelines as mandated by DOD, BUMED, DHA and TRICARE directives, coordinating with the local MHP clinic, utilization, and Referral Management policies, and obtains additional clinical data as required.
$25.1 - $44 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Knowledge of ICD-10 and CPT codes Experience with insurance plans, third-party payer practices and guidelines, and pre-certification and referral management for insurance plans. The Prior Authorization Coordinator is responsible for obtaining insurance approvals to ensure continuity of care for our patients.
$20 - $25 an hourFull-timeExpandUpdated Today - UpvoteDownvoteShare Job
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Identifies patients in need of care coordination within the MHP teams, through screening patients with a pattern of high risk, unstable and resource intensive utilization of Military Treatment Facility (MTF) or network services such as chronic pain patients.
$2,510 - $4,400ExpandUpdated Today - UpvoteDownvoteShare Job
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Government programs such as Medicare, Medicare HMO, Medicaid, Medicaid HMO, Tricare, Veterans Affairs, Blue Cross Blue Shield Federal. Insurance basics, PPO, HMO, POS, Capitation, Workers Comp, Mva.
$35,360 - $38,480 a yearFull-timeExpandUpdated Today - UpvoteDownvoteShare Job
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Elite Staffing Network is seeking a Licensed Practical/Vocational Nurse (LPN/LVN) supporting Naval Medical Center San Diego, CA and associated branch health clinics. Education: Be a graduate from a Licensed Practical Nurse or Licensed Vocational Nurse program accredited by the Accreditation Commission for Education in Nursing (ACEN) or be a graduate from an accredited program accepted by the applicable State Board of Nursing or a training program accepted by the MTF.
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Identify patients using 2 patient identifiers (Last name and Date of Birth), room patients, take vitals, perform patient intake (chief complaint, medical and surgical history, apply scales/screenings, medication reconciliation), assist providers during and after encounters, inform the providers of urgent concerns, and discharge patients with appropriate education and resources per provider orders.
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Knowledge in self-pay collections, third party carrier billing guidelines, commercial insurance/contracts, HMO, PPO, Medicare, Medi-Cal, CHAMPUS-TRICARE, CMS, GHPP, and CCS billing. Location: Assignment locations include the UCSD Health Sciences campus, UCSD Medical Center - Hillcrest & Thornton Hospital, and a variety of UCSD satellite locations.
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Working knowledge or familiarity with Managed Care, State and Federal health care programs (e.g. Medicaid, Medicare, TRICARE, VA Community Care Network), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Medical, dental, and vision insurance and/or TRICARE supplemental insurance. RMGS, Inc. is currently recruiting (5) LDA Liaison – Digital Integration in Pearl Harbor, HI; Virginia Beach, VA; Coronado, CA in support of the Naval Special Warfare Command, Leadership Development and Assessment (LDA) Directorate Services.
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Maintains liaison with State Adjutants General, National Guard and Reserve Commanders and their organizational and medical staff within the assigned regional area of responsibility as well as the National Oceanic Atmospheric Administration (NOAA) Public Health Service regarding the provision of TRICARE education and services support.
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tricare job in San Diego, CA
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