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These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Responsible for leading all NCQA Health Equity Accreditation work for Humana’s Medicaid markets.
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General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred. 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.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Experience in insurance and Medicare/Medicaid billing and reimbursement preferred. Contacts insurance companies for pre-certification authorization. Experience in insurance and Medicare/Medicaid billing and reimbursement preferred.
$11.94 - $33.88 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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This position ensures that regional members of the eligibility department follow appropriate protocol with Social Security Administration, State and County Medicaid Offices, Financial Assistance screening, point of service collections and application processing.
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Summary Full time Case Management allows for flexible scheduling to promote work/life balance.
$5,000 a monthFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Identify opportunities and impacts as a results of Centers for Medicare and Medicaid Innovation enhancements and offerings. The AVP will play a key leadership role on the HQRI team, partnering directly with the HQRI leadership team, leaders across the enterprise, including Market leadership, and external companies to create Medicare Risk Adjustment strategies to support Humana's industry leading position.
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Your primary objective will be to assess the overall health and well-being of Medicare beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
ExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Summary Full time employment allows for flexible scheduling to promote work/life balance.
$5,000 a monthFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists. Exciting opportunity for an experienced Staff Pharmacist to work PRN within the Aids Project of the Ozarks (APO) Pharmacy in Springfield, MO. This is a unique and rewarding opportunity for a pharmacist with a retail or mail order pharmacy background and an active MO pharmacist license.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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As a Billing and Revenue Cycle Specialist at FORVIS, you will specialize in facilitating monthly Medicare, Medicare Advantage, and insurance accounts receivable and billing functions on behalf of home health and hospice clients.
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Motivational PHC culture, training, and Supportive Hospice Team. We are Medicare Certified and State Licensed. Motivational PHC culture, training, and Supportive Hospice Team. We are Medicare Certified and State Licensed.
Full-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations. The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods.
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The desired candidate must have an active Missouri and Arkansas (or have the ability to obtain Arkansas) license and be eligible to participate in Medicare and Medicaid programs. Consider a Rheumatology opportunity for full or part-time practice.
Part-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Access Files To learn more about the TCFR and the MRF provision, refer to this Centers for Medicare & Medicaid Services page [cms.gov]. Must live within 30 minutes of home store location with flexibility to work at multiple locations within a district as needed.
$40,000 - $50,000Full-timeExpandApply NowActive JobUpdated 5 days ago
medicare medicaid jobs in Springfield, MO
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