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Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan.
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Medicare and Medicaid rules and regulations and health plan benefit structure and policy. Knowledge of Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
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As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together. Licensed Marriage and Family Therapist (LMFT.
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Client operates a portfolio of health plan products under several different legal structures: Intercommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Client, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; Client is also the third-party administrator for Client Services' self-funded employee health benefit plan.
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SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan.
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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.
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Quickly locates Medicare billing rules and policies, fully comprehends how these relate, apply and follows coding when billing Medicare patients. The Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid.
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Responsible for Medicare and Commercial premium billing and enrollment. Responsible for Medicare and Commercial premium billing and enrollment. Serves as a Subject Matter Expert (SME) regarding payment related issues.
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Provide excellent service to assigned accounts; Sell PBC's Service Advantage ? Products in this portfolio include, but are not limited to, Pepsi, Gatorade, Tropicana, Frappuccino, Rockstar and Bang products.
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DEPARTMENT DESCRIPTIONOperates a portfolio of health plan products under several different legal structures: a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries, offering Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans Third-party administrator for self-funded employee health benefit plan.
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All Samaritan Health Services labs are licensed by the U.S. Centers for Medicare and Medicaid Services - the Clinical Laboratory Improvement Amendments Act (CLIA), and accredited by the College of American Pathologists (CAP.
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Become a Panther independent contractor driving Dedicated and take advantage of the vast ArcBest network delivering expedite freight to some of our largest customers. Become a Panther independent contractor driving Dedicated and take advantage of the vast ArcBest network delivering expedite freight to some of our largest customers.
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THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. See and study diseases that are not usually encountered in the private sector, and work on vaccines for viruses like Zika and COVID-19 that can have a global impact.
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We operate a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; we offer Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for our self-funded employee health benefit plan.
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As a Dually Licensed Agent, you’ll have the unique advantage of thriving in both the Real Estate and Mortgage domains, exponentially expanding your professional network and income opportunities.
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medicare advantage jobs Company: Capital Markets Placement in Corvallis, OR
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