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Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. The MDS Coordinator will be responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc.
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Competitive candidates will have a demonstrable content expertise and teaching capabilities in health services research, such as utilization management, outcomes assessment, healthcare payment systems; healthcare financing (Medicare/Medicaid); economic evaluation and quality of care; cost-effectiveness and cost-benefit analysis.
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Providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Impacting patient acquisition and lead generation targets for each center in your assigned territory by leveraging community relationships to engage Medicare eligible adults.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Strong interpersonal skills to build rapport with Medicare eligible individuals and assist them in selecting the appropriate Medicare health insurance plan by presenting our world class suite of insurance products.
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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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7+ years of behavioral health experience and working knowledge of Medicare, Medicaid and health plan administration. For Sunflower Health Plan:Licensed Psychologist (LP), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), Registered Nurse (RN), or Advanced Practice Registered Nurse (APRN) required.
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Instruct patient and family members on proper use of equipment such as wheelchairs, braces, walkers, crutches, canes, and other prosthetic/orthotic devices Completes all clinical documentation following agency protocol and Medicare/Federal guidelines.
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Provides excellent Medical Customer Service while managing referrals, Patient Check-in, Check-out, DME Insurance Verification, and medical billing across all payors; commercial & Medicare). Floating between 12 sites Liberty MO - homesite/ 840 West Kansas St. Fill in for vacation, sick leave, bereavement, extra help Needs the Medical background no flex - these are the offices they would be floating between.
$22 an hourTemporaryExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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As a Business Office Manager, you will be responsible for coordinating with the Central Billing Office on managing insurance payments, including private, Medicare, Medicaid, and other managed care; managing refunds for accounts receivable, and maintaining appropriate logs and reports, not limited to, resident funds, census records, and case accounts.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Reviews the medical records assuring federal and state requirements and conditions of participation for Medicare, Medicaid and other alternative payment models met. Demonstrates consistent knowledge and application of Medicare and other reimbursement regulations.
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Perform additional assignments relating to Medicare compliance engagements. Myers and Stauffer LC is a certified public accounting and health care reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services.
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Knowledge of healthcare with relative experience in Claims data, Risk adjustment, Medicare, Quality (5-Star, QRS, HEDIS), and Medicaid. Experience with Azure DevOps, Azure Data Factory, Azure Data Bricks, SSIS, PowerBI.
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Duties may include but are not limited to: assessment, diagnosis, referral, treatment, and prevention of speech-related disorders, and Medicare billing, in compliance with individualized student goals and objectives, and State and Federal guidelines.
Part-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Proud to be CARF (Commission on Accreditation of Rehabilitation Facilities) accredited, The Hill received a “Five-Star Quality Rating” from the Centers for Medicare & Medicaid Services (CMS) and was recognized by U.S. News & World Report with the highest possible ratings for short-term rehabilitation, long-term care, and overall care.
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Communicates and advises appropriate internal and external stakeholders on Medicare Compliance and Medicare Set-Aside (MSA) matters including, but not limited to, lien negotiation efforts, MSA submissions and/or general information.
RemoteExpandApply NowActive JobUpdated 4 days ago
medicare job in Olathe, KS
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