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Prepare all required Medicaid Supplemental reports and Tricare Capital/DME Reimbursement reports to procure all amounts due from these government programs as applicable for our hospitals. The main responsibility is the preparation of the Medicare, Medicaid, and TRICARE reports for Tenet acute care hospitals (“Cost Reports.
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Florida plans include: Medicare, Medicaid, RR Medicare, Tricare, Florida Blue, United, Oscar, Cigna, Physicians Care Network IPA, West Florida, etc Texas plans include: Medicare, Medicaid, RR Medicare, Tricare, BCBS, United, and 2 different PPN plans.
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Verify that relevant entities, such as Medicare, Medicaid, and/or Tricare, if applicable, have been notified of the settlement, and ensure that you have received the appropriate responses. Bachelor's degree in Business Administration, Finance, Legal Studies, or related field preferred.
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Health and dental insurance for you and your family through Tricare Reserve Select. You may also take part in humanitarian relief efforts stateside and around the world, collaborating with fellow military doctors and other healthcare professionals while partnering with organizations such as FEMA, USAID and Project Hope.
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NACLC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense. Optum Serve is seeking an Onboarding/Offboarding Lead to join our team in support of an exciting upcoming contract for the Department of Veterans Affairs OMEGA program.
Full-timeRemoteExpandUpdated 4 days ago - UpvoteDownvoteShare Job
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Experience with managed care, Medicare, Health Exchange, and Tricare. Primary Claims End User Tester lead for Claims Operations in the development, testing and implementation of new and/or revised system enhancements to ensure effective and efficient claims processing by translating Claims Operation business requirements, user stories to test cases, developing testing scripts by performing manual testing for Benefit Configuration, Facility Contracts (new/revised) by conducting positive and negative testing.
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Join our team as an RN Case Manager and provide comprehensive case management services for TRICARE beneficiaries with multiple or complex conditions. RN Case Manager | Remote. Experience as a telephonic case manager at a health plan highly desirable.
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The Customer Service Executives are the first point of contact for the client, providing a full range of operational support to those seeking access to the TRICARE Overseas Program (TOP), responding to inbound calls or contacts from our beneficiaries based around the world, either current or former members of the US military and their families, who want to access medical services.
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