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Serves as a subject matter expert in health care compliance including, but not limited to fraud, waste and abuse; Medicare & Medicaid billing requirements; and interactions with healthcare professionals.
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Identifies/reviews services requiring pre-authorization/pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers, to ensure provider eligibility requirements are met prior to receiving service.
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These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Previous Medicare experience a plus.
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Report To: Summer Day Camp Director. Position Title: Summer Day Camp Counselor. Other duties that pertain to Day Camp as assigned by the Day Camp Director and/or Activities Specialist. Communicate children behavior issues to Day Camp Director.
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Report any significant incidents and/or changes in the residents needs to the Executive Director/Wellness Director. Weekends required Villas of Holly Brook, Reflections Memory Care and Villas of South Park are an equal opportunity employer.
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This is a remote role and will report to the Director, Database Analysis & Development and under the leadership of the VP, IT Infrastructure & Operations. This is a remote role and will report to the Director, Database Analysis & Development and under the leadership of the VP, IT Infrastructure & Operations.
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Northeast client seeks a VBC rockstar for Lead Actuary role involving presenting analysis results and recommendations to actuarial management, developing junior staff, and supporting the Medicare Bid process, including preparing presentations, responding to queries, and filing bids.
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OVERVIEWWe are looking for an exceptional laboratory genetic counselor to provide laboratory and consultative genetic counseling services of the highest quality to our customers, including project management, variant analysis, report writing, communication of results, and education services.
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The Senior Traffic Engineer will report to the Division Director and will perform engineering tasks for traffic engineering and traffic impact study projects. The Senior Traffic Engineer will report to the Division Director and will perform engineering tasks for traffic engineering and traffic impact study projects.
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Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends. Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals.
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The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients.
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Serves as liaison with the Department of Healthcare and Family Services auditors on hospital reimbursements due to the Department; audits hospital report vouchers for Third Party payments, Medical and Home Services payments; establishes Accounts Receivable and initiates collection activity when DHFS advises of overpayment.
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Knowledge of student records/registrar functions, business processes, report, and touchpoints with other Student Information System (SIS) functional areas including Student Admissions, Student Financials, and/or Financial Aid.
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The FOH Manager will report directly to the Director of Hospitality. Proven work experience as a Restaurant Manager, Restaurant General Manager, Hospitality Manager or similar role. The FOH Manager thrives in a fast-paced environment and understands what it takes to succeed in a dynamic restaurant.
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Installation with the help of proper manuals, report writing, disassembly, assembly, parts reuse evaluation, and reconditioning. Our franchises include Peterbilt, International, Hino, Isuzu, Ford, IC Bus and Blue Bird. We offer a rewarding career as a leader in the transportation industry.
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medicare cost report jobs in Springfield, IL
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