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Assigning accurately, when applicable, a DRG or APC to Medicare, Medicaid and other required payor's records with the assistance of various computerized grouper software. Assigns DRGs to Medicare, Medicaid, and other required payors.
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Oak Street Health is on a mission to Rebuild healthcare as it should be, 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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Knowledge of terminally ill patients and their families along with understanding of hospice concept; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, and human resource) management principles.
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Our Medicare Sales Field Agents sell individual health plan products and educate beneficiaries on our services in a field setting. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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Reimbursement Environment: Clinic participates in traditional fee-for-service contracts with most Medicare, commercial and preferred provider plans; a few of these plans offer bonus incentives for quality performance.
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Ability to read, analyze, and interpret Medicare Compliance Regulations. Runs medical necessity for all Medicare patients by utilizing ICD-9 Coding and CPT coding. To provide third party benefit verification, obtain prior authorizations, and facilitate obtaining pre-certification for all patients.
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Provide personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Value-based care model and competitive bonuses are structured to reward outcomes.
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Remains current, through continuing education and utilizes knowledge base of Medicare, Medicaid, insurance and state-administered waivers as well as the Americans with Disabilities Act. We continue to be an industry leader in the field of Long-Term Care Case Management, Assessment, Population Health Management and Innovative Software Development Solutions.
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SouthernCare, part of the Gentiva family of hospice, home health, palliative, and community care providers, focuses on clinical excellence with compassion and dignity. You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager.
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Our Medicare Sales Representatives sell individual health plan products and educate beneficiaries on our services in a field setting. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to directly impact your own income potential.
$43,400 a yearFull-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Perform all duties related to open enrollment season for new Medicare clients. All required licensing for Medicare Insurance as stated by the government. PCF Insurance Services is a premier risk management, benefits design, and insurance brokerage services firm ranked #20 on Business Insurance's 2023 Top 100 Brokers and #12 on Insurance Journal's 2023 Top Property/Casualty Agencies.
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Provides information to resident/families on Medicare/Medicaid and other financial assistance programs. Bachelor’s in Psychology; or Licensed practical nurse in Kentucky, Michigan, or Ohio. Three (3) to five (5) years’ experience working in the field of social services in a senior residential care, healthcare, senior living industry or long-term care environment.
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CCPA Notice for Job Applicants, Contractors, and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
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