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Provides subject matter expertise for one or more of the following: Risk Adjustment for CMS HCC Medicare Advantage and/or Medicaid (CDPS Rx, Milliman, Mercer), Quality (HEDIS / STARS) measure performance, Population Health including population segmentation, risk stratification models, disease management and case management performance tracking and analytics.
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The English courses are to help students improve their academic writing and oral communication skills in order to pass the International English Language Testing System (IELTS) exam, after which they may be qualified for enrollment at Arcadia University starting in their second year.
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Working knowledge or understanding of: principles of Palliative Medicine, including when a patient may be appropriate for home health or hospice care; Medicare/Medicaid regulations; and interdisciplinary process.
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Experience in enrollment management, development, sales, marketing, communication, and/or volunteer management. The Advancement Director is responsible for the overall planning, management, coordination, and evaluation of the enrollment management, development, communications and constituent/public relations programs of the school – activities that create a supportive climate for enrollment and fundraising.
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The Utilization Review Specialist will examine medical and behavioral health insurance benefits to ensure proper coverage, address lapses in coverage, manage authorization process, billing process, decipher complicated insurance laws and policies including Medicare, Medicaid, Behavioral Health Coverage, and Commercial Health Insurance Coverage.
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CFF hires BCs and MTs as employees, not independent contractors, which means Child and Family Focus pays a portion of your Social Security and Medicare taxes. Licensed as a behavior specialist (LBS), social worker (LSW), clinical social worker (LCSW), professional counselor (LPC), marriage and family therapist (LMFT), psychologist (Psy. D, Ph. D), certified registered nurse practitioner (CRNP), or a profession with a scope of practice that includes overseeing the provision of ABA services (BCBA.
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As part of the Leidos team as a TRICARE BSR, you will provide Beneficiary education and enrollment support services for the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA.
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Enrollment or completion in a graduate program related to creative writing. Enrollment or completion of an undergraduate program in a humanities field or field related to writing. Experience writing professionally (copywriter, journalist, technical writer, editor, etc.
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Wider range available depending on experience and location Schedule: Full-Time, Monday through Friday, 8:00 AM - 5:00 PM Role Description: The purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on medicare to keep them happy, healthy, and out of the hospital.
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Cardiac Intensive Care Unit. As per the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses performing moderately complex point of care testing, a copy of a diploma or transcript of the highest level of academic achievement to be on record with Human Resources upon hire.
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Working knowledge of medical billing procedures with Medicare and Medicaid. Maintains Medicare bad-debt cost report by tracking billings; monitoring collections; compiling information. Performs Medicare/Medi-Cal reviews and audits.
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Summary/Objective The benefits specialist will assist with benefits administration, enrollment, and questions, insurance billing, and maintain employee databases and files. In this role, you will assist with benefits enrollment configuration, claims, insurance billing, and employee database and files.
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Upon commencement of your employment, Solomon Page offers automatic enrollment into ReviveHealth, which offers concierge, membership-based access to virtual primary care, urgent care, mental health therapy, a vision program, and prescription medications.
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A minimum of five years of progressive experience in enrollment management in a higher education model OR ten plus years of executive experience driving growth in both acquisition and retention for an organization outside of higher education.
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Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. RN manages the overall process and tracking of all Medicare/Medicaid case-mix documents to ensure appropriate reimbursement for all services provided within the nursing.
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