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Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
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Medicare knowledge required with minimum of one year of Medicare sales and one Annual Enrollment Period preferred. As an Advocate Agent I, you'll serve as a trusted expert on all things Medicare insurance-related and have access to the nation's best carriers (Humana, Anthem, UnitedHealthcare & more.
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Responsible for educating Temple physicians as well as other support staff in coding and billing compliance, maintaining the effectiveness of the TUHS Compliance Program, and serving as the key corporate resource for the requirements of the Medicare and Medicaid programs for the payment of fills for physician services.
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Situated in the heart of Philadelphia, Urban Farmer Philadelphia is the modern farm-to-table concept introduced by Sage Restaurant Concept, Urban Farmer is committed to sustaining the region we live and eat in.
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We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members.
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In our Snacks division, we have brands like Cape Cod, Goldfish, Kettle Brand, Lance, Late July, Pepperidge Farm, Snack Factory, and Synder’s of Hanover. In our Snacks division, we have brands like Cape Cod, Goldfish, Kettle Brand, Lance, Late July, Pepperidge Farm, Snack Factory, and Synder’s of Hanover.
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Five (5) or more years of healthcare claims audit or progressively more responsible experience in Customer Service, Enrollment, Claims, Provider Services, Medicare, Quality, or related administrative activities•Extensive Knowledge of audit procedures, requirements and practices related to these audits.
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Candidates must be board certified by the ANCC or AANPMust have active/unrestricted license in state of position openingMust be able to be credentialed by Medicare, Medicaid, and other Private Insurance CompaniesFor states/markets that require state specific prescriptive authority in addition to the Federal DEA registration, NPs must be able to see patients without the physical presence of a collaborative physician (where such collaboration is required.
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The ideal candidate will have a solid understanding of the regulatory framework for publicly-funded health and human service programs (e.g., Medicare, Medicaid, and HHS-administered grant programs) and transactional experience related to contracts between providers and vendors in compliance with federal fraud and abuse laws as well as participation agreements with managed care organizations or provider networks in compliance with federal Medicare and Medicaid managed care regulations.
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Provides general assistance and advocacy related to social and supportive services to all residents; provides up-to-date information and clarification regarding programs such as Medicare, Medicaid, entitlements as well as other supportive and social services.
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Filing system includes, billing files created weekly for CBH, MA, Medicare, BHSI, & Magellan. Enters all rejections received from other payors (i.e. MA, Medicare, BHSI, Magellan, etc.) Filing system includes, billing files created weekly for CBH, MA, Medicare, BHSI, & Magellan.
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Proficiency in Medicare, Minimum Data Set (MDS) / Resident Assessment Instrument (RAI), Care Plan process. Attends regular meetings; Stand Up, Cross Over, Department Head Meetings, Town Hall, Quality Improvement, and others as directed by the Executive Director.
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Finance, business administration, economics, accounting, insurance, engineering, mathematics, banking and credit, law, real estate operations, statistics, or other fields related to the position, such as agriculture, agricultural economics, farm, livestock or ranch management, or rural sociology.
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Are you looking for a new challenge in a critical strategic role designed to optimize access to ViiV Healthcare products across a variety of payers (AIDS Drug Assistance Program, Fee for Service Medicaid, Managed Medicaid, Medicare Part D, PBMs and PBAs as well as assigned Commercial Accounts within the region.
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Lankenau Medical Center , a 331-bed not-for-profit acute care teaching hospital and medical center, is conveniently located in Wynnewood, PA, just outside the western city limits of Philadelphia, on a magnificent 93-acre campus including its own farm.
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farm medicare jobs in Clifton Heights, PA
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