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Contractual arrangements include but are not limited to Medicaid, Commercial, Medicare Advantage, Medicare Accountable Care Organization (ACO) Reach, ACO – Medicaid, Capitation and global shared savings/risk.
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What we need from you:Prior experience in a Skilled Nursing Facility (SNF) is requiredExperience with Public Aide / Medicaid billing and collections is required Previous experience with Medicare / Managed Care billing is helpfulPoint Click Care (PCC) software experience is idealPlease specify detailed billing experience (when, where, how often, collectables.
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Adherence to all Centers for Medicaid and Medicare Services (CMS) and Zing Heath regulatory and marketing guidelines are required. The Medicare Sales Agent will market Zing Health Medicare Advantage Prescription Drug (MAPD) plans to eligible Medicare beneficiaries for education and enrollment purposes.
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The AR projects will include back-end collections and billing for Public Aide, Medicaid, Medicare and managed care accounts for our skilled nursing facility. Officially we title this job a BOM or Business Office Manager, but in other centers it may be called a Medicare / Medicaid Biller or Accounts Receivable Coordinator or even a Financial Services Rep.
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Understands Medicare, Medicaid, and commercial insurance. Distribute information to appropriate departments to expedite patient care. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE.
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Hybrid Temp to Hire, Medicaid ACO Care Mgr. RN/LPN/LSW/LCSW Chicago, IL. Our client, an ACO located on the near west side of Chicago, is seeking an experienced Medicaid ACO Care Manager (RN/LPN/LSW/LCSW.
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Accountable for achieving performance results in value-based care by engaging, influencing and supporting physicians. 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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Experience with compliance auditing, facility and physician coding/billing practices, PPS systems of payment (e.g. DRG, APC, APL, HHRG, CMG) and Medicare provider-based rules preferred. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence.
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Across the system to achieving optimal success in current and future value-based care contracts (i.e. Medicaid and Medicare Advantage) and opportunities (i.e. risk-based specialty services), including reaching and maintaining a market-leading position in the demonstrated ability to deliver quality clinical, cost and service outcomes for defined challenged populations and communities.
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This organization focuses primarily on value-based care initiatives within the Medicare advantage space. -Previous experience with Medicare, Value Based Care Agreements, or Risk Adjustment.
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Department Function: The Social Impact Accelerator (SIA) develops and implements processes, systems, and structures to facilitate, coordinate, and hold IFF accountable for equity in practice, cross-functional collaboration, innovation, scaling of impact, and systems change.
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Under the direction of the Vice President of Internal Audit, the Financial Compliance Auditor is accountable for visiting these locations during events to verify that certain key processes and controls are operating effectively.
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Complete understanding of all levels of MCO/Medicare/Medicaid reimbursement issues and their impact on business performance; identify potential obstacles and lease with Market access to resolve effectively.
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The role of Financial Compliance Auditor is to support the organization in proactively identifying and eliminating risks through the delivery of a fraud audit program and trend reporting. And we’ll always take care of family, learn more about Levy benefits offered.
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This 24/7 team of nurses will be accountable for responding to medical emergencies, proactively providing nursing interventions to at-risk patient populations, acting as a resource in our intensive care unit, and being a nurse consultant in non-critical care settings.
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medicare medicaid accountable care organization jobs Title: general counsel in Chicago, IL
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