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Also ensures compliance with internal regulatory bodies and contracts with payers and pharmaceutical manufacturers (BOP, DEA, Medicare, accreditation bodies, compounding, FDA, etc. Fully abides to all compliance policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid, and all other third-party payers, as well as the facilitating of prior authorizations on behalf of prescribers.
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This individual will also support the health care providers in obtaining optimal reimbursement (payment rates and market access) by serving as a knowledgeable resource in coding, coverage and payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran Affairs (VA) and commercial payers.
$166,000 - $235,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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.
$110ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Collaborate with U.S. Market Access Team to understand individual payer access strategies for Commercial, Medicare, and Medicaid and manage the impact to patient access and affordability strategies and tactics.
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All paperwork to be turned in over 24 hour period to assure Medicare Billing. Initiates the plan of care for SOC (Start of Care) using Medicare OASIS Form. Completed ROC (resumption of Care) using Medicare OASIS Form Completes RECERT (Recertification of Care) using Medicare OASIS Form Completes DC (Discharge) using Medicare OASIS Form Performs initial evaluation on patient visit, evaluates patient homebound status and re evaluates the patient's nursing needs on succeeding visits.
$9,128 a monthExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Are you well versed in Databricks, Java/Angular, and an expert coder? Are you well versed in Databricks, Java/Angular, and an expert coder? 3+ years of experience with SQL Server or Databricks ETL, including hands-on experience developing SQL stored procedures and SQL-based ETL pipelines.
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NY license as a Masters Licensed Social Worker or as a Licensed Clinical Social Worker-Will accept those with a limited permit if already applied for their LMSW- Must be eligible for participation in Medicaid and Medicare programs.
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Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. Qualifications: Master of Social Work Degree or related field, or RN or CSW. Minimum one to three years previous management experience preferred.
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Responsible for the coordination and filing of the annual Medicare cost report and audit. In conjunction with the IGT accountant, the administrative staff works with the Medicare consultant to prepare quarterly IGT financial reports.
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In this role, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare and other populations. Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
$110 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Comply with all regulatory guidance including but not limited to HIPAA, Medicare rules and billing and coding. Benefits continuity via our national BCBS insurance plan ( no need for COBRA or marketplace insurance.
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Requirements: 2 years of Home care CHHA experience 1 year or more of Supervisory experience Ability to educate and motivate staff Good communication skills (written, verbal, oral) Knowledge of Medicare conditions of participation BSN (Masters preferred) NYS RN valid license NYS RN registration Valid driver’s license and ability to provide own transportation during working hours for the purpose of making home visits.
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Need hands on coder, interview process includes online coding. The Top Required skills are Microservices, Spring Boot, kafka, aws/pcf. Upgrade applications to more robust and adaptable architecture and latest technologies like Java 1.8, Maven, Spring boot, Pl/sql, etc.
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Managed Care/Medicare Advantage experience is preferred but nor required. Description Growing group in Richmond, VA seeks primary care physician for out patient opportunity. Internal Medicine Physician All Out Patient.
$250InternExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Must possess active Medicare/Medicaid Enrollment or be eligible to enroll. Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration. Continuing Medical Education (CME) Reimbursement.
$200InternExpandApply NowActive JobUpdated Today
coder medicare jobs in Brooklyn, NY
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