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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.
$16 - $18 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Well-versed in statutory liens (Medicare, Medicaid, ERISA, etc.) TorkLaw, a recognized industry leader in providing unparalleled legal advocacy for our clients, is seeking a talented and motivated individual to join our team asa Medical Lien Negotiator.
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We are seeking an experienced and highly qualified Medical Director to join our team and lead our Utilization Management department.
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Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. The MDS Coordinator will be responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc.
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Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.
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The Home Health Aide is responsible for providing patients with in-home personal care and designated health related services to maintain the patient's physical and emotional well being, while following the written plan of care, Medicare/Medicaid regulations and agency policies and procedures.
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Position Description: Responsible for proofreading (spelling, grammar, punctuation and variable factors including health plan premiums, health plan benefits, disclaimers and more) omni-channel campaign assets, marketing collateral and federally-mandated health plan documents related to the Medicare portfolio of plan options.
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Minimum of 10 years of successful healthcare sales experience in the Payer services and solutions space required with particular knowledge of Managed Medicaid, Medicare Advantage, SNP (Special Needs Plans), and ACOs desired.
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Skill 2 Knowledge of federal Centers for Medicare & Medicaid ("CMS") agency. The Project Management Office is looking for individuals to join the PMO. Our direct client has a new opening for Project Manager 116073.
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We're hiring board-certified physician assistant/physician associate (PA) contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. Evaluates, author Pharmacy Technician, Technician, Pharmacy, Clinical Research, Health, Benefits, Retail, Healthcare.
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Position Summary- Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. Performs non-medical research including eligibility verification, COB, and benefits verification.
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Also responsible to ensure bankruptcy accounts deceased accounts, accounts requiring final notices (including Medicare accounts) are worked timely, and as appropriate including notification to agencies and within the Medicare regulations as it relates to final notice process.
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Providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Mission-focused career impacting change and measurably improving health outcomes for medicare patients.
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Performing hospice face to face assessments as required by Medicare & insurance to determine if patients qualify for services. Our NP will collaborate with our team of nurses and physicians to deliver premium care for our valued patients to assist with successful transitions through a variety of settings including hospitals, transitional care facilities, long-term care, assisted livings, and private homes.
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medicare job in Albuquerque, NM
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