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Exhibits a general understanding of healthcare regulatory and compliance (e.g., Stark Law, Anti-Kickback Statute, EMTALA, HIPAA, Medicare, and Medicaid billing requirements, etc. Certified Compliance and Ethics Professional (CCEP), Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC), Certified Fraud Examiner (CFE), or other compliance related certification preferred.
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Experience with Cloud platforms like Azure or AWS Desired Qualifications:Experience with Next.jsExperience with CMS tools like Sitecore or Adobe Experience Manager (AEM) Experience with and understanding of W3C / Web Accessibility Standards.
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The Segment Marketing Senior Manager will oversee direct-to-consumer (DTC) marketing for the Cigna Medicare Part D (PDP) business, reporting to the VP of Marketing. DTC Marketing Senior Manager - Medicare - Hybrid.
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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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Our Medicare Sales Representatives 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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One (1) to three (3) year's Medicare Part D experience. Runs daily ECS log report to identify denied claims for Medicare or other insurers. Provides health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP's) and Third-Party Insurances.
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The Patient Navigator manages a variety of front office functions and is key to smooth operation of a dynamic outpatient wound care center as well as performs general office duties to assist the staff of the WCC.All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
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Many of our skilled nursing facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine.
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Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents.
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The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services.
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Design, develop, test, deploy, maintain, and support a cutting-edge CMS for our streaming video platform, ensuring a seamless user experience for hundreds of thousands of viewers. You'll have the opportunity to work on and evolve a cutting-edge CMS that delivers seamless experiences to hundreds of thousands of viewers.
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Maintains a workable knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial: monitoring those accounts to meet specifications. Communicates with the AR Manager regarding problem areas.
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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.
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PINNACLE Workforce Development earn and additional dollar raise each year. Our culture is built on three distinct pillars: Learning, Spirituality and Intra-preneurship. Each pillar has its own staff and initiatives, ensuring that our unique culture permeates the entire organization.
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It is our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered healthcare services, personalized spirituality, and real quality of life initiatives.
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cms medicare jobs in Louisville, KY
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