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Prepare the annual system-wide net revenue budgetAnalyze reports and variances to determine deviations from trend/budgetPrepare month-end journal entries to report the value of Medicare, Medi-Cal, contracts, and other payor revenue and accounts receivableEnsure fee-for-service estimates are correctPerform quarterly analysis of FTEs for GME/IME reportingProvide training to staff on specific areas of expertise.
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Provide training to the Medicare Coordinator, Assessment Nurse and pertinent facility staff. The Regional Clinical Specialist will serve as an adviser, trainer, educator and auditor and will assist and support the facility Administrator, Director of Nursing, Medicare Coordinator and Assessment Nurses.
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Maintains understanding of various payers and Medicare pre-authorization processes. JOB SUMMARYThe RN Utilization Review coordinates care for OPIS patients who are high cost, complex, and at risk.
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Compliance oversight for "Schedule A" request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA. Compliance oversight for "Schedule A" request from carriers, Form 5500, Medicare Part D Disclosures and CMS Reporting, HIPAA and ERISA and COBRA.
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Ensure Account Manager is performing all tasks as outlined in the MMA Assistant Account Manager or Account Manager Job Description. Assist bSwift team with set-up of client web site as directed by Benefits Operations Manager.
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Oversee Compliance functions to include but not limited to: Benefit Timeline Checklist Healthcare Reform Checklist Self-Funded SPD Checklist Stop Loss Checklist Admin Agreement Checklist. Assist bSwift team with completion of the bSwift requirements document for any assigned clients that are engaging bSwift as their ben admin and online enrollment technology.
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JOB DESCRIPTION JOB SUMMARYThe Physician Assistant - Cardiology - PRN is a licensed, certified, non-physician healthcare provider who actively renders direct patient care and possesses delegated prescriptive authority, is credentialed and privileged, and whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the appropriate board.
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Remain free from exclusion under the OIG and SAMS Medicare/Medicaid list. Strong aptitude to communicate effectively both orally and in writing to interact with a wide variety of individuals providing optimal patient care aligned with Maxor's relentless commitment for distinguished customer service.
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Current Medicare provider enrollment with active PTAN number. The majority of patients are elderly with Medicare coverage and are assigned to the nurse practitioner for continuing primary care visits every 30-60 days.
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The Sr. Manager, Pharmacy Operations Compliance is responsible for tracking, monitoring, reviewing, interpreting, and communicating all aspects of existing, proposed, and newly enacted federal and state rules and regulations, Joint Commission (JC) accreditation standards, and Centers for Medicare and Medicaid (CMS) Conditions of Participation relative to the practice of pharmacy within the organization.
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Our Medicare Sales Field Agents sell individual health plan products and educate beneficiaries on our services in a field setting. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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Providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Mission-focused career impacting change and measurably improving health outcomes for medicare patients.
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The ideal candidate is an accomplished subject matter expert who is passionate in making a real impact on preserving the Medicare Trust Fund. He/she should be a confident public speaker with excellent written and oral presentation skills.
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A) Incident Analyst shall have a working knowledge of laws and guideline including National Incident Management System (MMS) National Response Framework (NRF), Centers for Medicare and Medicaid Services.
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The Community Care Area Sales Manager represents the Agency in activities involving professional contacts with physicians, hospitals/facilities, senior living communities, professional associations, and similar health groups and institutions, to apprise them of the availability of the Agencys Medicare services.
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medicare job in Fort Worth, TX
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