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Minimum of one year paralegal/legal assistant experience, preferably in healthcare environment or experience in Medicare or Medicaid provider enrollment or private payer enrollment/credentialing.
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Provides training to users of Admissions data outside the Admissions department including Extended Studies, OIT staff, Enrollment Services, Graduate Admission & Degree Services, Academic Affairs, International Student Services, and Advising & Academic Enhancement.
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An active, independent California Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Clinical Psychologist Residence in Idaho Though we do not require our providers to see Medicare patients, you must not have opted out from Medicare Have access to reliable and stable internet while working remotely; experience with Google Suite is a plus.
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Evaluates patient insurance resources including, but not limited to Medicare, Medicaid, HMO and commercial insurances and makes post-acute care placement recommendations for appropriate utilization.
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With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years.
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Participates in HumanGood provided Medicare and MDS webinars and education in order to keep current with RAI updates and evidence-based practices in the Post-Acute Long-Term Care settings. Verifies billing aspects of Medicare are thoroughly documented and reimbursed as appropriate.
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The Terraces of Boise, named by U.S. News & World Report “Best Independent Living” and “Best Continuing Care Retirement Community for 2023-2024” is hiring an MDS Coordinator-RN. Provides direct supervision to LVN MDS Nurse.
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Communicates and advises appropriate internal and external stakeholders on Medicare Compliance and Medicare Set-Aside (MSA) matters including, but not limited to, lien negotiation efforts, MSA submissions and/or general information.
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Reviews pertinent hospital records to determine the most appropriate MDS ARD, projected HIPPS codes and identify the most appropriate principal diagnosis for skilled coverage. The MDS Coordinator RN develops, completes, and transmits resident assessments (MDS - Minimum Data Set) in accordance with current Federal and State standards.
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Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts, appeals, self-pay billing, Medicare and Medicaid billing, AR posting, along with excellent customer service skills.
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Oversee extracting and collecting diagnosis data from claims systems, submitting this data in the form of Medicare Risk Adjustment Processing System (RAPS) files to CMS in a timely manner, and oversee the RAPS record error correction processes.
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The intake specialist will serve as the central point of contact for all new walk-in clients and most returning clients to the IRC. This position involves working directly with clients in a fast-paced environment while maintaining professional standards and best practices with timely enrollment, referrals to appropriate services and client communication.
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Minimum one-year experience as MDS Coordinator RN preferred. Assures PPS admission documentation compliance and forms (e.g., Physician Certs/Re-certs, SNF ABN, PASRR, GG, DRR, and Baseline Care Plan) are completed in timely manner.
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As Actuary on the Unit Cost Analysis and Management team within Humana's Provider Analytics organization, you will enable sustainable growth and support Humana's Health First purpose by executing and enhancing unit cost projection processes, primarily focused on our Medicare Advantage business.
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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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medicare enrollment jobs in Eagle, ID
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