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CPC certification through AAPC or CCS certification through AHIMA required. 1+ years experience in Medicare/Medicare Advantage required. Work collaboratively with the Medicare Risk Operations team to ensure positive program outcomes.
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Minimum of two (2) years as a successful Medicare sales producer. POSITION HIGHLIGHTS: Our Sales Support Specialist will be responsible for providing sales support to the organization for Medicare Products.
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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.
$31,500 - $43,400 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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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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Assists the Reimbursement Manager in preparing Medicare and Medicaid cost reports, wage index reviews and other reimbursement analysis. Prepares the quarterly Medicare/Medicaid cost report settlement estimates and maintains the general reserve binder for the corresponding hospital; can revise the models to reflect any regulation changes, as necessary.
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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.
$29.1 - $62.31Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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They assist the Reimbursement Manager in preparing Medicare and Medicaid cost reports, wage index reviews, and other reimbursement analyses. Prepares quarterly Medicare/Medicaid cost report settlement estimates and maintains the general reserve binder for the corresponding hospital.
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Experience: No previous experience required with CPC-A, CPC, CCS- P certification, and successful completion of the AAPC Extern Program with Novant Health RCS; required. Additional Skills Required: Successful completion of the AAPC Extern Program with Novant Health RCS Coding is required.
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Work History: 8+ years of direct provider-facing experience or direct health plan experience with STARS, HEDIS, Risk Adjustment and medical expense reduction, preferably specific to Medicare Advantage.
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Evaluates all admissions for appropriate level of care and/or Medicare coverage/denial. Prefer experience in Senior Living or Skilled Nursing & Rehabilitation. Oversees completion and timely submission of MDS data.
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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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Independently processes and submits complete, timely, and accurate enrollment applications to The Center for Medicare Services (CMS) and state Medicaid offices on behalf of new groups and currently employed Atrium Health Medical Group (AHMG) providers and groups billing under AH MG tax ID numbers.
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Gathers and maintains data for Medicare and Medicaid cost reports, providing support to outside consultants as needed. #RemoteJob #HealthcareFinance #ReimbursementAnalyst #AccountingJobs #FinanceCareers #Medicare #Medicaid #CostReports #HealthcareJobs #CareerOpportunity.
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Experience with real world healthcare data such as MarketScan, Optum, EMR, EHR, DRG, PharMetrics, and/or Medicare databases. Master s degree in Epidemiology, Biostatistics, Computer Science, or other subject with high statistical content and a minimum of 4 years industry SAS statistical programming experience.
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Maintain current working knowledge of Medicare, PDPM, and Medicaid criteria. Monitor Medicare assessment schedules and nursing documentation to ensure accuracy and timely submission. Mecklenburg Health & Rehabilitation is seeking an MDS nurse to complete resident assessments.
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aapc medicare jobs in Charlotte, NC
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