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An Enrollment Specialist is a member of the Patient Engagement Specialist (PES) team, telephonically educating and enrolling patients in a Medicare-sponsored care coordination program designed to help the patient better manage their chronic illnesses (diabetes, high blood pressure, COPD, etc.
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Locates community resources and connects patient with resources to assist in their living situationAssists in determining financial concerns including insurance and assists in application for social security benefits (such as SSD, SSI or any other applicable social security benefits) as well as application for Medicaid/Medicare if appropriate.
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In 2022, Saint Luke's East earned a five-star rating by the Centers for Medicare and Medicaid Services based on quality measures including safety, effectiveness, and patient experience. Our sleep program currently includes BC/BE sleep physicians, Advanced Practice Providers, DME coordinator support, and excellent certified sleep technicians.
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Demonstrates a working knowledge of managed care and Medicare health plans as well as reimbursement related to post-acute services within the continuum of care. Provides utilization management services, in coordination with other Case Management staff, providers, and other healthcare team members, using pre-established guidelines and criteria to perform review activities to assure the proper utilization of hospital services and payment of those services by Medicare, Medicaid, and other third-party payors.
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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.
$215,000 - $245,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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. Mission-focused career impacting change and measurably improving health outcomes for Medicare patients.
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Facilitate the ongoing eligibility of consumers for services including medical eligibility, knowledge of private insurance benefits, Social Security, Medicaid, Medicare, Kansas Brain Injury waiver, and other funding options.
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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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Duties will include clinical pulmonary, sleep and critical care in both the inpatient and outpatient settings as well as telemedicine clinics and protected sleep study reading time. Saint Luke’s Pulmonary Specialists is recruiting for a BC/BE Pulmonary/Critical Care and Sleep Medicine physician to join an existing group practice at Saint Luke’s East Hospital in Lee’s Summit, MO.
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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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Medicare knowledge required with minimum of one year of Medicare sales and one Annual Enrollment Period preferred. As an Advocate Agent I, you'll serve as a trusted expert on all things Medicare insurance-related and have access to the nation's best carriers (Humana, Anthem, UnitedHealthcare & more.
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Working knowledge or familiarity with Managed Care, State and Federal health care programs (e.g. Medicaid, Medicare, TRICARE, VA Community Care Network), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel.
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Quickly grasp new concepts and product offerings, such as Major Medical, Medicare Advantage, Medicare Supplement, Prescription Drug Plans, and other ancillary health products. You will primarily handle inbound calls from consumers interested in saving on their Medicare expenses and optimizing their benefit coverage while also helping build your client portfolio through outbound consumer engagement efforts.
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The compensation range described above is the range of potential total compensation (base pay and any bonus potential) that GoHealth believes in good faith it will pay for this role at the time of this posting based on the job grade for this position.
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This role reports to the Regional Director of Operations or Regional Vice President (depending on location) and has an opportunity for advancement. Partner with the Center Medical Director and Outreach Manager to lead the center as a triad and make collaborative decisions that support the best interests of the patients and team and drive profitability for the center.
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medicare job in Overland Park, KS
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