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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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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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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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Medical Staff Coordinator, Data Quality Specialist. 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.
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Four (4) years business analysis and/or business systems analysis project coordination related experience required. Advanced experience and/or training in SQL and Microsoft Excel required. Shift Information:Days (0800-1630) no weekends.
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Kimberly Casey with Robert Half is seeking an Accounts Payable Specialist for a client in Corvallis, OR. Take advantage of premium healthcare coverage as this employer covers 90% of premiums for employee and family.
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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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DRIVE DEDICATED Become a Panther independent contractor driving Dedicated and take advantage of the vast ArcBest network delivering expedite freight to some of our largest customers. DRIVE DEDICATED 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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We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products. With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long.
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Comprehensive knowledge of clinical documentation and coding, including CPT and HCPCS. Thorough understanding of the relationship between codes and revenue in the reimbursement process, specifically how revenue is generated from CPT codes and the HCPCS. Firm understanding of the Medicare IPPS, OPPS and ASC payment systems.
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Leads system revenue integrity and contracting teams to support daily clinical operations and revenue cycle services. Experience with charge master management for a medium or large size health system required.
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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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As a Best of Staffing Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Aerotek is an Allegis Group company, the global leader in talent solutions.
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The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations. The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations.
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If you need help putting together a cover letter and/or resume, please take advantage of the following OSU resource available to you: For additional information please contact: Ange Purviance at angela.purviance@oregonstate.edu.
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medicare advantage jobs Company: Seldovia Village Tribe in Corvallis, OR
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