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Miami-Dade County Public Schools (M-DCPS), an rated district, is the nation’s third largest school system with nearly 500 schools and a diverse enrollment of more than 335,500 students from over 160 countries.
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Wellpoint, formerly Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. Works to develop and deliver high impact interventions, supporting content development and practice transformation embedded capabilities to significantly improve provider performance that drive cost of care and improve HEDIS/Stars where applicable.
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Sports Science Data Specialist IKnowledge, Skills and Ability Enrollment in an undergraduate program focusing on sport science or a related field (such as kinesiology, exercise science, etc.) Collaborate and communicate with various departments such as Sport Science, Player Development, Sports Medicine, and Strength and Conditioning to facilitate database integration.
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Recruitment: Recruit, attract, and onboard qualified candidates for enrollment specialist positions. Quality Assurance: Implement quality control measures to guarantee the accuracy and efficiency of the enrollment process.
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Serve as the Primary Business Consultant/Representative to other areas regarding coding, coding guidelines, and various Medicare reimbursement methodologies such as MS-DRG, OPPS, IPPS, APR-DRG, and Fee Schedules.
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Under the direction of a Pharmacy Team Coordinator (TC), the Pharmacy Prior Authorization Coordinator II (PAC II) is responsible for supporting the day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial.
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The incumbent serves as the customer analytics consultant to our departments across the organization and will make data-driven strategy recommendations in the Medicare Advantage and health care industry.
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Prepares unofficial transcript evaluations of pre-nursing, Transfers and Conditionally Accepted BSN student files received from Division of Enrollment Services. Presents at undergraduate orientations and thoroughly explains the importance of maintaining health and regulatory compliance during school enrollment.
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Experience in successfully running lead generation offers in Insurance (Medicare, Health, Auto are our biggest), but also some experience in verticals we plan on building out: Home Services (Solar, Home Improvement), Financial Services (Credit Repair, Debt), or Legal (Mass Tort, MVA.
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Assists in and takes the ownership of the unit Manager with the coordination of all regulatory audit activities for the Underwriting and Financial Department, including DFS Market Conduct Exams, Medicare ACR audit and OPM audit.
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Enrollment or completion in a graduate program related to creative writing. Enrollment or completion of an undergraduate program in a humanities field or field related to writing. Experience writing professionally (copywriter, journalist, technical writer, editor, etc.
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Initiates Prior Authorization submissions and completes all follow ups for all insurance Payors including Medicare Advantage, Medicaid's, HMO, PPO, and Commercial until the case has reached a determination.
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Medicare knowledge required with minimum of one year of Medicare sales and one Annual Enrollment Period preferred. As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access to best-in-class paid training, and potentially the opportunity to move into a leadership role.
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An Enrollment Specialist is a member of the Patient Engagement Specialist (PES) team, telephonically educating and enrolling patients in a Medicare-sponsored care coordination program designed to help the patient better manage their chronic illnesses (diabetes, high blood pressure, COPD, etc.
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Provide assistance in coordinating the Annual Medicare Advantage Health Plan Benefit presentation dinner meetings to Primary Care Physicians and others as needed. 3 - 5 years' experience with a Medicare Advantage Health Plan or BS/BA Degree.
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enrollment medicare jobs in Miami, FL
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