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Major duties of an Appeals Coordinator include providing comprehensive and efficient analytical support to prepare Medicare cost report appeal filing and associated supporting documents, communicating with hospital clients, MACs, and Provider Reimbursement Review Board (PRRB) staff, preparing and editing correspondence of legal documents, calendar management, docket management, and maintaining files.
Full-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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Description : JOB SUMMARYThis job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Great Place to Work®Most Loved Workplace® Forbes Best-in-State EmployerMedicare Specialist (Remote)PRIMARY PURPOSE: To coordinate, analyze and facilitate Medicare Compliance and Medicare Set-Aside (MSA) functions within the assigned team.
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Medicare Appeals Coordinator – Indianapolis or Milwaukee. You’ll get the opportunity to engage in complex matters including defending healthcare providers against allegations of fraud as well as pursuing Medicare reimbursement appeals in federal court.
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Create and implement marketing plans and budgets that align with the channel's goals and objectives, as well as the regulatory and compliance requirements for Medicare Advantage products. Knowledge of the Medicare Advantage market, products, regulations, and compliance standards.
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The AVP will play a key leadership role on the HQRI team, partnering directly with the HQRI leadership team, leaders across the enterprise, including Market leadership, and external companies to create Medicare Risk Adjustment strategies to support Humana's industry leading position.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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We own nursing homes, health plans for Medicare beneficiaries living in long-term care facilities, as well as divisions offering psychiatric care, home health, hospice, rehabilitation and specialty pharmacy services.
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Audit & Reimbursement Lead- Medicare Cost Report Appeals. Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the Medicare cost report and Medicare Part A reimbursement.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Our network consists of a variety of payors, an accountable care organization (ACO), telemedicine, and Medicare advantage products. Our network consists of a variety of payors, an accountable care organization (ACO), telemedicine, and Medicare advantage products.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare. Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
Full-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Knowledge of all pertinent federal and state regulations, filing and compliance requirements, both adopted and pending, affecting employee benefits programs, including ERISA, COBRA, FMLA, ADA, Section 125, workers' compensation, Medicare, OBRA, and Social Security and DOL requirements.
$75,376 - $133,415 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Who Should Apply: If you have experience as a certified coder, medical coder, Medicare risk adjustment, CPC, CRC, medical coding specialist, remote coder, medical coding, MRA, HCC, hierarchal condition categories, or risk adjustment, we would love for you to apply.
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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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The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local medicare patient populations at our innovative network of neighborhood primary care centers.
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Your primary objective will be to assess the overall health and well-being of Medicare beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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aarp medicare jobs in Indianapolis, IN
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