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Expert knowledge of Medicare, MassHealth and commercial insurance pre-claims requirements, regulations and guidelines. This position reports directly to the Patient Financial Administrator and works closely with school clinics it supports: Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology and Tufts Dental Facilities, the Pre-doctoral (students), Postgraduate (residents) Specialty clinical treatment areas, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics, Oral and Maxillofacial Surgery, AEGD and Geriatric Dentistry.
$24 - $33.1 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Excellent BenefitsVacationHolidaysPaid Sick TimeMedicalDentalVision RN / MDS COORDINATOR Full job descriptionThe RN / MDS COORDINATOR manages the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within the nursing.
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Track record in healthcare finance, including hospital reimbursement (i.e., Medicaid, Medicare, Medicare Advantage, Commercial), revenue cycle management, managed care contracting, financial planning and analysis, operational finance, and compliance is strongly preferred.
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Assesses, via electronic systems, patients insurance plans and benefits, such as MassHealth eligibility and Medicare benefits and facilitates coordination with Patient Financial Services. Prepares, explains to patients, and documents delivery of the Medicare Important Message and Medicare Outpatient Observation Notice.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Advises transplant candidates on insurance and funding options including providing information regarding alternate funding and choices of insurance coverage i.e., Medicare and Medicaid eligibility, COBRA, Social Security Disability, retirement plans, etc.
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If you have six (6) plus years of experience working with healthcare and/or life sciences clients on compliance issues with fraud and abuse laws and regulations, together with working knowledge of FDA regulatory requirements and Medicare and Medicaid payment rules, and experience related to internal investigations and responses to the HHS Office of Inspector General (OIG) and U.S. Department of Justice (DOJ), we would be interested to discuss this career advancing opportunity with you.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Initiates phone contact with eligible Medicare patients in attempt to enroll them in CCM/RPM/RTM programs on behalf of physician practice. Our main services are to help medical offices with programs like Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Tele-Health.
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Assist patients with other eligibility programs, such as Medicare Part D Prescription Drug Coverage through research using Medicare’s website; and assist patients with the Medicare and MassHealth Open Enrollment periods.
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The Medicare Product Manager will assist in driving the design and development of Medicare Advantage products to support growth and retention, based on trends, innovations and unique MGBHP advantages and capabilities.
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Works collaboratively with the Case Manager, Brewster Ambulance Services Transportation Coordinator and the VPNE care van ambassador to coordinate the various modes of discharge transportation. Initiates and/or completes regulatory and other forms, such as MassHealth Long-Term Care and DMH/DDS PASSR forms and processes the completed forms with the appropriate agencies.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Eliot's One Care Health Home program is an innovative Care Management approach for members with complex medical, behavioral health, and social needs who are dual eligible, having both Masshealth and Medicare benefits.
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Medicare Shared Savings Program, ACO Reach, or commercial accountable care organization development. Medicare Shared Savings Program, ACO Reach, or commercial accountable care organization development.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Duties include ensuring that the program complies with all Centers for Medicare and Medicaid Services (CMS) guidelines, State regulations, and ensuring the financial viability/continued growth of the program, managing business relationships with all contracted providers, and managing the state and federal relationships surrounding the aspects of Home Health Care Services.
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Understanding of healthcare economics and various lines of business (i.e., Medicare Fee-for-service; Medicare Advantage, Commercial, Managed Medicaid, Medicaid Fee-for-service, unfunded, etc.
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Working knowledge and ability to navigate through the healthcare system (insurances, Medicare, Medicaid, physician office operations) The Service Authorization Specialist is responsible for providing accurate, prompt, and appropriate entry of all medical referrals and requests from CCA Clinicians, Members, Vendors and Providers for services needing prior authorization.
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medicare job in Lynn, MA
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