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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial.
$99,000 - $170,200 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Directs hospital billing coding, professional billing coding, health information management operations, revenue integrity (charge master, fee schedules, charge reconciliation and training, pricing) clinical documentation improvement program, and documentation integrity.
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Process internal Auxiliary Services billing to University departments and external billing for contract customers who partner with PTS to include Fairview, University of Minnesota Physicians, Graduate Hotel, and others via the PeopleSoft billing module.
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Assist with PTS fiscal year-end duties Customer Service 15% Perform as PTS Billing Specialist to work with University Central A/R staff, Controller’s Office staff, Dental unit administrators, Intercollegiate Athletics contacts on customer inquiries and communicate directly with external corporate and individual customers regarding billings.
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Operates Sterile Processing within and exceeds professional standards, licensing, and accreditation requirements, including the Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Association of Perioperative Registered Nurses (AORN), Center for Disease Control (CDC), AAMI (Association for the Advancement of Medical Instrumentation, Association for Professionals in Infection Control and Epidemiology (APIC), FDA, EPA, Department of Health and licensure requirements.
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Clinician will be either credentialed with United Healthcare, Cigna, BCBS, Alliance Medicaid, Partners Medicaid, Amerihealth, WellCare, Carolina Complete Health, and/or Healthy Blue or willing to pursue in order to provide care to our client population.
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Anti-kickback statute; False Claims Act; HIPAA and Privacy issues; FDA and Regulatory law regarding Medical Devices/Pharmaceuticals; Clinical trials; Reimbursement issues; Medical Device/Pharmaceutical Marketing & Promotional issues; Discount Safe Harbor and other laws applicable to Medical Device sales; Medical device/Pharmaceutical Compliance issues; billing requirements of a Medicare healthcare provider; Government Investigations.
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You should have an understanding of regulations impacting digital products such as FCC (TCPA, CANSPAM), FTC, State Unfair Competition Laws; familiarity with EEOC/ADA/GINA, ERISA, HIPAA, Medicare/Medicaid a plus.
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For example: bank teller, cashier, court clerk, legal assistant, medical billing specialist). helps employees manage weight loss and reduce risk factors for type 2 diabetes, and , a benefit that reduces out-of-pocket costs for diabetes-related medical treatment.
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The Healthcare Instructor will be responsible for teaching the core Medical Administrative Assistant courses Medical Billing and Coding, Introduction to Insurance, Medical Office Procedures and Legal and Ethical principles, both in the online platform and in-person.
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Minimum of 1 year of experience in SAP BRIM or Convergent Billing solution components such as Subscription Billing or Subscription Order Management (SOM) or Convergent Mediation (CM) or Convergent Charging (CC) or Convergent Invoicing (CI) or contract accounting (FICA.
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Our client, a mutual benefit corporation headquartered in Oakland, providing health, dental, vision, Medicaid and Medicare healthcare service plans in California seeking an accomplished DevSecOps Engineer.
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Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
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In addition to our Doctor of Chiropractic, we offer a Doctor of Acupuncture with a specialization in Chinese Herbal Medicine, Masters' offerings in Acupuncture, Chinese Medicine, Functional and Integrative Nutrition, and Integrative Care, and undergraduate offerings in massage therapy, health sciences, and allied health professions - medical laboratory science, medical laboratory technology, radiation therapy, and radiologic technology.
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medical billing medicaid jobs in Minneapolis, MN
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