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For your physical and mental wellness we offer competitive Medical and Dental programs through Anthem Blue Cross Blue Shield as well as Vision insurance programs through EyeMed.Our Vacation, Sick and Holiday programs are available for you to rejuvenate with time off.
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For your physical and mental wellness we offer competitive Medical and Dental programs through Anthem Blue Cross Blue Shield as well as Vision insurance programs ? For your physical and mental wellness we offer competitive Medical and Dental programs through Anthem Blue Cross Blue Shield as well as Vision insurance programs.
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Fortune 100 corporations and exciting attractions like the Georgia Aquarium, World of Coca-Cola, and College Football Hall of Fame are nearby. Work today, get paid today! Assist Director of Finance in directing the financial activities of the hotel, safeguarding the assets, and preparing all financial reports in accordance with generally accepted accounting principles and HEI Hotels and Resorts Standards.
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The Medicare Cost Report & Reimbursement Manager will act as the day-to-day leader of Northside Hospital’s Government Reimbursement Function. This position will require leadership skills and will also require maintaining a high degree of knowledge on Medicare Cost Report instructions, data inputs, and changes to Medicare and Medicaid regulations related to Reimbursement.
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You should have an understanding of regulations impacting digital products such as FCC (TCPA, CANSPAM), FTC, State Unfair Competition Laws; familiarity with EEOC/ADA/GINA, ERISA, HIPAA, Medicare/Medicaid a plus.
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4+ yearsproven backgroundinhealthcare law (contract law, Medicaid, Medicare, CMS standards, federal contracting, procurement, value-based care, QIA, and healthcare transactions.) This position will also serve as a subject matter expert, educational resource, and strategic adviser, to Sharecare business leaders and colleagues on all aspects of governmental healthcare programs including Medicaid, Medicare, and value-based care.
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Review healthcare policy (Medicaid manuals, fee schedules, CCI, OIG Alerts, LCAs/LCDs, NCDs, Medicare manuals, etc.) Your goal everyday is to develop claims editing logics that promote payment accuracy and transparency across Medicaid, Medicare, and commercial lines of business.
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We are minutes from many of the city’s largest event venues that host major conventions such as Mercedes Benz Stadium, Georgia World Congress Center and State Farm Arena, just to name a few. HEI Hotels and Resorts is committed to providing a comprehensive benefit program that offers you choices for your physical, mental and financial wellness, creating value in your most important investment - you.
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Applies the Centers for Medicare & Medicaid National Coverage Determination (NCD) 310.1, Routine Costs in Clinical Trials, to determine if the study is a qualifying clinical trial with therapeutic intent, diagnosed disease, Medicare benefit category, and deemed status or seven desirable characteristics.
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It is highly preferred that the individual have an understanding of Medicare billing rules and functional knowledge of essential National Coverage Decisions and the new CMS Clinical Research Policy.
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In particular, the AVP will play a critical leadership role in the development of processes relating to Medicare risk adjustment, documentation, and in-home wellness assessments (in partnership with Humana's Medicare Risk Adjustment team, as well as with external strategic partners), given the importance of these areas to the delivery of value-based care.
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Our primary care physicians are true hands-on caregivers transforming the health and lives of seniors on Medicare Advantage. Holistic Health Services: Acupuncture, Tai Chi, Yoga and Nutrition. Through our Value Based Care approach, you and your patients thrive in our high-touch, relationship-centered model – something the traditional, FFS healthcare model cannot provide.
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Located right in the heart of Buckhead with convenient access to the highway and two Marta Train stations, the Whitley has an awe-inspiring view of the city skyline. Active involvement in the Sales and Revenue Management function including but not limited to: following HEI Key Meeting SOPs (RevMax, Hot Prospects, Sales Strategy Meeting), involvement in Group site inspections and group closing process, review results from ESS/MPSI Measurement Tool.
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Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
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The Director, Group Medicare Sales and Labor Relations sells health insurance and related products to new large group accounts (generally 300+ contracts) and leads the Labor Relations team. The Director, Group Medicare Sales and Labor Relations requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
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