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Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict with Physician's professional medical judgment), and the standards of the Joint Commission on Accreditation of Healthcare Organizations.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Must be a Medicare-enrolled physician duly licensed to practice medicine in the state of South Carolina. Successful candidate must represent that he/she is not, and has never been, excluded from participation in the Medicare or Medicaid programs, or any other federal or state health insurance organization nor convicted of a health care-related criminal offense.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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NO Float to other clinics: NO Patient Population: Outpatient, medicare, post op 36 hours guaranteed with the expectation of working up to 40 hours. NO Float to other clinics: NO Patient Population: Outpatient, medicare, post op 36 hours guaranteed with the expectation of working up to 40 hours.
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In this role you will support a Manager of Sales Administration, Senior Manager of Medicare Sales, a Director, Sales and Marketing Support Executive, up to career Medicare Sales Representatives, as well as all our external agents state wide.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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American Health Insurance Professionals Certification for Medicare within 90 days of hire. Preferred Software and Other Tools: Working knowledge of Microsoft Excel, Access, or other spreadsheet/database software.
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Strong interpersonal skills to build rapport with Medicare eligible individuals and assist them in selecting the appropriate Medicare health insurance plan by presenting our world class suite of insurance products.
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Experience demonstrating knowledge of CMS Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare, CHIP and Marketplace, applicable State regulatory requirements, including the ability to easily access and interpret these guidelines.
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Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance. Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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All caseload is billed under Medicare Part-B. New grad PTs will be considered. Job Requirements: State licensure as a Physical Therapist Open to all experience levels, including new grad PTs. Able to work full-time, part-time, or PRN hours.
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As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access to best-in-class paid training, and potentially the opportunity to move into a leadership role.
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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local medicare patient populations at our innovative network of neighborhood primary care centers.
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Knowledge and understanding of Medicare, Medicaid, Private Pay and Third Party reimbursement. MINIMUM EXPERIENCE REQUIRED:On-the-job training provided in admission guidelines. Knowledge and understanding of Medicare, Medicaid, Private Pay and Third Party reimbursement.
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Seven years (Medicare) auditing or accounting experience with one-year leading audits. Certified Internal Audit (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA.
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Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems. 2+ years of clinical experience, primary care, home-based medical care, geriatrics or palliative care of emergency/urgent care.
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medicare job in Columbia, SC
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