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Key Responsibilities Utilize knowledge & skills set to accurately complete Medicare, Medi-Cal, Tricare, Champ VA, Medicaid Programs & other non-specific governmental & commercial (BCBS, Aetna, UHC, etc.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Must be in good standing on the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. Become a part of our caring community and help us put health first.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC.
Full-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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1+ years of experience with long term care services and support, Medicaid or Medicare. The virtual event is Tuesday, April 9th, at 12:00pm CST. To register for the event, please visit: To view available roles and apply visit: Roles available include Community Health Worker, HSS Clinical Coordinator, HSS Manager and other supporting roles.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding. Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Job ID: 25748-28986 In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, Our nurse residency program gives you the confidence and skills you need to set you up for success.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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PREFERRED REQUIREMENTS: Experience with Quality Measures Experience with Government Programs ( Medicare/Medicaid ) This role is 100% remote, there are 2 openings for this role Based out of Richardson, San Antonio, or Austin TX Hours: 8am-5pm CT Are you being referred to one of our roles.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Education and/or Work Experience Requirements: Active Resident State Health Insurance License High School Diploma Strong computer and internet skills specifically in MS Office Excellent verbal and written communication skills The ability and capacity to understand various products from multiple carriers to help consumers make the best decision Minimum Qualifications Proficient knowledge of the Medicare System; previous Medicare sales experience.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Monday-Friday POSITION SUMMARY/RESPONSIBILITIES Provides indirect nursing care to patients identified within the geriatric Medicare managed group in accordance with UHS policies and standards. Understanding of Medicare and geriatric population experience preferred.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth. Preferred Qualifications: Certified Medical Assistant training OR certification 1+ years of HEDIS/STAR experience OR participation with similar quality regulatory reporting.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Working with seniors a plus, as is a general understanding of Medicare Advantage. to help reach our ideal patients (i.e., medically underserved, Medicare-eligible seniors, age 55 and older.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Patient panel is predominately geriatrics with Medicare Advantage coverage. WellMed is a Medicare Advantage Plan that operates as a health system focused on Quality/Value Based Outcomes. A partner of the Optum Care network, WellMed Medical Group, is seeking an internal medicine or family medicine physician to join our WellMed at Southwest Military in the San Antonio TX MSA.
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Reviews claims that have been adjudicated by Medicare, Medicaid, and Commercial carriers for appropriate billing. Addresses denied claims, claims pended for medical necessity, and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals.
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Non-profit accounting preferred and knowledge of OPO Medicare Cost Report is required. Monitors legislation, regulations and policy statements that impact the organ procurement organization and transplant center Medicare reimbursement.
ExpandApply NowActive JobUpdated 12 days ago
medicare job in San Antonio, TX
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