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Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus. The Field Reimbursement Manager will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, including acting as an extension of patient support program and in other collaboration with other partners.
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Demonstrated understanding of insurance, Medicaid, Medicare billing requirements. Current, active, and unencumbered FL State License as a Licensed Independent Social Worker (LCSW), Licensed Professional Clinical Counselor (LPC ), Licensed Marriage and Family Therapist (LMFT) or License Clinical Mental Health Counselor (LCMHC.
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The Infusion Reimbursement Manager is responsible for managing the billing and collection function for all payer groups including Medicare / Medicaid. The Infusion Reimbursement Manager is responsible for managing the billing and collection function for all payer groups including Medicare / Medicaid.
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The ASC Medical Billing professional will also work closely with our team to ensure compliance with medical terminologies, denials, ICD-10 coding, and Medicaid, Medicare and commercial insurance policies.
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Conduct Medicare, VA, and Medicaid payment policy research and analysis, develop strategic recommendations. Broad knowledge of Medicare, managed care, third party payers, and Medicaid required; knowledge of Medicare rulemaking process, Durable Medical Equipment benefit category preferred.
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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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Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
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As part of the Signify Health's Member Engagement team, you will contact members of various Medicare Advantage and Medicaid health plans by phone to offer, explain, and schedule a free in-home or virtual healthcare evaluation.
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Proven track record of success in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. Proven track record of success in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage.
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Adheres to best practice by following all regulatory, federal and state recommended practices and guidelines as stated by (but not limited to) AAMI (Association of Advancement of Medical Instrumentation), AORN (Association of Perioperative Registered Nurses), The JC (Joint Commission), CMS (Centers of Medicaid & Medicare), APIC (Association for Professionals in Infection Control and Epidemiology) and SGNA (Society Gastrointestinal Nurses Association.
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Familiarity with key data sources for healthcare analysis (eg, Medicare claims, Medicare Part D data, commercial claims data, Medical Expenditure Panel Survey data, Medicare Current Beneficiary Survey data.
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Keeps abreast of changes in Medicare, Medicaid, and insurance providers regarding pre-certification procedures. Keeps abreast of changes in Medicare, Medicaid, and insurance providers regarding pre-certification procedures.
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General understanding and knowledge of the Center for Medicare and Medicaid Systems (CMS), the Joint Commission (TJC), the National Association for Quality Assurance (NCQA), and the Massachusetts State Regulations as they pertain to credentialing of Medical Staff members and Allied Health professionals.
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Be at the forefront of designing and delivering Medicare and other health technology solutions that push boundaries and create new opportunities for our clients. From rapid deployments to entire transformations, you'll deliver leading edge Medicare strategy and operations capabilities to our clients.
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Oak Street Health is on a mission to Rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest.
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Virtual Reality Job Interviews
With the advent of desktop computers, the arduous task of scouring through weekly job classifieds became a thing of the past. The mid-1990s brought about a new era where job seekers could easily search and apply for jobs online. The introduction of AOL's Instant Messaging feature provided an even faster means for employers and candidates to communicate and schedule interviews. As smartphones became more pervasive in the early 2000s, hiring managers increasingly used phone calls for screening and interviewing candidates. Despite this trend, over 80% of interviews still took place in person.
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As you may already know, there has been a lot of talk lately about the possibility of a TikTok ban. While this has not yet come to fruition, it's important to consider the implications this could have for businesses and recruiters who rely on TikTok as a platform to market their brand, recruit new talent, and connect with their audience.
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One day it's a covert statement to a mother returning to work after maternity leave. Another day it's a lingering gaze at an employee enjoying a culturally rich meal. These microaggressions (or sometimes macroaggressions) can take an employee from a confident, high-performer to one that feels insecure being themselves at work. Your employees engage with people with different ideas and feel most comfortable and valued when they can work without losing their cultural, racial, and gender identity. While most employers know this, why have workplace racism and sexism often been neglected?
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In today's competitive job market, writing quality job ads is critical for attracting top talent to your organization. While networking and candidate referrals are prime real estate for finding qualified candidates, nothing beats the tried-and-true method of writing an extraordinary job ad. But while writing a great job ad is the first step, what's more important is increasing visibility. You could have the most detailed, well-written ad on the internet, but if no one sees it, then you are wasting time (and potentially money!). Employers often believe that job boards are the root of the problem, but you can learn how to increase job ad exposure by tweaking a few steps of your recruitment process.
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The job market has shifted significantly in recent years. The accelerated adoption of technology has not only pushed many companies into remote working arrangements but also increased the availability of supporting tools and technologies (i.e., video conferencing and collaboration software).