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Oversees the management of the project portfolio which includes intaking, evaluating, and approving or rejecting project and program ideas across Cigna Healthcare (U.S. Employer, Government (Medicare and Individual & Family Plans (IFP.
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Mount Sinai Rehabilitation Hospital, located on Blue Hills Ave., in Hartford, Conn., is a licensed chronic disease hospital and certified by Medicare as an acute rehabilitation hospital and accredited by the Joint Commission, and the Commission on Accreditation of Rehabilitation Facilities for its General Rehabilitation and Stroke Specialty programs.
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Do you have experience working with subacute Medicare patients in the home health setting and OASIS documentation, even if per diem, and if so where did you work and from what month/year to what month/year.
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Knowledge of Multistate and Federal wage and hour laws including FLSA, ERISA, COBRA, FMLA, ADA, Section 125, Workers Compensation, Medicare, HIPAA, social security and DOL requirements. Experience as an HR Manager, HR Operations Manager, Payroll/Benefits Manager, or similar role.
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The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare appeals for participating providers. Primary duties may include, but are not limited to: Requesting clinical, research, extrapolating pertinent clinical, applying appropriate Medicare Guidelines, navigate through multiple computer system applications in a fast-paced department.
$61,360 - $132,600 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Knowledge of payer landscape Commercial, Medicare Part D and dual eligibility. The Key Account Manager (KAM) for the Dry Eye Business Unit is responsible for launching and growing market share with a strong focus on driving demand through the payer channel in a defined geographic area, reporting to the Area Sales Manager (ASM.
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Extensive experience in healthcare contracting, with a critical understanding of PBMs, National Health Plans, Medicare Part D/B, GPOs, VA/DoD, Medicaid, and the evolving market landscape. Minimum of 12 years of pharmaceutical industry experience, with significant expertise in at least two of the following areas: Channel Strategy, Finance, Pharmacy, Pricing, Trade, or Market Access.
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The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local Medicare patient populations at our innovative network of neighborhood primary care centers.
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Collaborating with a team of both clinicians and non-cliniciansDeepening your understanding of Medicare and how the program worksLearning about our Hyland OnBase tool which is our content management system used for viewing electronic recordsExperience working in an environment that serves our Nation's military, veterans, Guard and Reserves and Medicare beneficiariesContinuous performance feedback.
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Trinity Hill Care - RN MDS Coordinator The primary role of the MDS Coordinator is to coordinate and guide the overall process and tracking of all Medicare/Medicaid case-mix documents, and care assessments in order to assure appropriate reimbursement for services.
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3+ years Medicare billing experience, homecare preferred. The Account Analyst is responsible for review and correct Medicare RTP edits in FISS system, accurate and timely processing and posting of payments and adjustments from insurance companies, patients, and vendors; daily balancing; monthly reconciliation; analysis of postings when necessary.
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Acts as a resource to physicians, non-physician providers, clinicians, program leaders and management concerning the interpretation and implementation of Medicaid, Medicare and other third party payer documentation, coding and billing requirements.
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We are a Medicare 5-Star rated family-owned facility looking for team players who truly want to make a difference in the lives of our residents. Avon Health Center, family owned since 1974, provides a range of services, including skilled nursing care, post-acute medical and rehabilitation care, hospice and respite care.
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Garity Advantage offers health and life insurance products to the senior market with a specialty in Medicare Advantage. Garity Advantage Agencies is a national field marketing organization specializing in the Medicare insurance market.
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Ensure a consistent customer experience across our Company's division and functional areas and share key learnings to support customer needs by effectively communicating and collaborating with the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.
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medicare job in Hartford, CT
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