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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. This is NOT a remote / 'work from home' position.
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Familiarity with key healthcare laws and regulations, including, but not limited to the federal Anti-Kickback Statute, the federal False Claims Act, the federal Physician Payment Sunshine Act, the Health Insurance Portability and Accountability Act, government price reporting metrics (for Medicaid, Medicare, Department of Veterans Affairs Programs, and 340B), and state analogues.
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Our client, an ACO, located on the near west side of Chicago, is seeking a Physician Credentialing Specialist to hire on a temp-to-hire, full time basis. Hybrid Temp-to-hire Physician Credentialing Specialist, Chicago, IL.
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Behavioral Health Specialist Fellow (MSW) (LMSW) providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest.
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Medical Assistants (MA) report to the Practice Manager or Center Operations Specialist. Mission-focused career impacting change and measurably improving health outcomes for medicare patients.
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Certifications may include Certified Professional Coder (CPC), Certified Coding Specialist (CCS) and Certified Medical Coder (CMC), and any other specialized coding certification approved by the two main governing bodies.
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The Data Quality Specialist monitors and coordinates activities that relate to maintaining the quality and integrity of the medical records. Performs assigned Medicaid, Medicare, and other third-party payer audits when required.
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Compliance with all Medicare, Medicaid, and HIPAA regulations and requirementsMaintains regular, predictable, consistent attendance and is flexible to meet the needs of the agency. Hours: Full-Time Monday through Friday 8:30 am to 5 pm.
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Follows all Medicare, Medicaid, and HIPAA regulations and requirements. Hours: In Office - Full Time: Monday through Friday 8 am to 4:30 pm. Adhere to internal control processes including payroll balancing and other internal controls for SOX compliances.
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The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care management services and evidence-based short-term psychotherapy to patients with behavioral health needs. Oak Street Health is on a mission to rebuild healthcare, providing personalized primary care for older adults on Medicare to keep patients healthy and living life to the fullest.
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Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents.
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General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred. Customer Service Specialist. Exact job experience is considered any of the above tasks in a Medicare certified.
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The Revenue Cycle Specialist will also work on other revenue cycle related task as needed which and may include data collection for UDS data reporting, Medicare and Medicaid credit balance reports, and 340B pharmacy revenue tracking.
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Other sources of data include Medicare and Medicaid claims, the IBM MarketScan Research Databases, PCORnet, CAPriCORN, National Death Index (NDI), NIH National COVID Cohort Collaborative (NC3) and Epic Systems, among others.
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Maintain current knowledge of health insurance options and public health benefits, including but not limited to Medicaid, Medicare, Ryan White, WIC, SNAP. The Learning Specialist Front Desk/Registration is responsible for new hire and ongoing training and development of Front Desk team members as well as quality monitoring and reporting on productivity and accuracy of registration.
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specialist medicare jobs in Chicago, IL
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