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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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Responsible for analyzing member clinical charts, diagnosis data, CPT Codes, and any other diagnostic data for Independence’s Medicare Advantage and Commercial HIX plans to assess chart coding accuracy and determine opportunities for improvement.
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Just two blocks from the Pennsylvania Convention Center, the Sheraton Philadelphia Downtown is walking distance to Love Park, the Franklin Institute, and the iconic Philadelphia Museum of Art. Guests can take advantage of our newly renovated fitness center equipped with Peloton bikes.
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We also offer additional Employee Perks that you can enjoy as an AMS employee: Scrubin – Uniform Discounts Working Advantage – unlimited access to thousands of exclusive discounts and special offers nationwide for theme parks, shows, tours, attractions, sports, concerts, hotels, rental cars, retail gift cards, movie tickets and much more Hotel Engine - Save up to 60% when booking hotel rooms, with access to more than 700,000 deeply discounted hotels worldwide.
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Coming Soon 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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Our large and varied clinical practice takes advantage of the peerless state-of-the-art facilities of our Temple Digestive Disease Center equipped with the latest diagnostic and therapeutic technologies to manage the spectrum of GI diseases.
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Whether you're a full-time, part-time, or provisional employee, you can seize the opportunity to sign up for the SEPTA Key Advantage Program and receive free Key cards for free rides on SEPTA buses, trains, trolleys, and regional rails.
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The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid on a fee-for-service (FFS) basis.
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Scrubin – Uniform Discounts Working Advantage – unlimited access to thousands of exclusive discounts and special offers nationwide for theme parks, shows, tours, attractions, sports, concerts, hotels, rental cars, retail gift cards, movie tickets and much more Hotel Engine - Save up to 60% when booking hotel rooms, with access to more than 700,000 deeply discounted hotels worldwide.
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Experience in government payer claim adjudication (Medicare, Medicaid, VA, Tricare) and commercial payers (BCBS, Aetna, Cigna, UHC, etc. Experience in government payer claim adjudication (Medicare, Medicaid, VA, Tricare) and commercial payers (BCBS, Aetna, Cigna, UHC, etc.
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Through T-Mobile’s products and services, Verge Mobile’s retail stores have the advantage of being one of the few places that truly help consumers stay connected with those that matter most to them.
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As a direct equity manager, we design and oversee systematic, risk-controlled, active, and passive strategies, including client-directed 'Values Based' screening and the exclusive utilization of corporate DEI scores from our partner, As You Sow. Our active U.S. fixed income core strategies cover the maturity spectrum, providing an income advantage and safeguarding against downturns through the ownership of distinctive, off-benchmark securities.
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The position is responsible for upholding RHD values and for adhering to the standards of DDAP, OMHSAS, Magellan, Medicare, and any other funding or licensing bodies. The position is responsible for upholding RHD values and for adhering to the standards of DDAP, OMHSAS, Magellan, Medicare, and any other funding or licensing bodies.
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Required Clearances: Pennsylvania Child Abuse, Criminal and fingerprint-based federal criminal history; Verification that employee is not on any Medicaid/Medicare Exclusion list. Job Description: It is the responsibility of the Behavior Support Specialist to develop and oversee the implementation of formal behavior management plans, conduct functional behavioral assessments, and provide one-on-one services for children or adults with IDD/Autism and or intellectual disabilities.
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Join the Genesis team as a Clinical Reimbursement Manager where you will maximize revenue through the evaluation and optimization of the Medicare/Medicaid reimbursement process. SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS: *Must be a graduate of an approved school of nursing with a license as a Registered Nurse or equivalent professional license (i.e. Physical Therapist) *BS or a BA degree is required *Must have Medicare and Medicaid experience.
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medicare advantage jobs Title: stop administrator in Philadelphia, PA
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