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Obtain a knowledge base of the state and federal regulatory process, quality indicators, quality measures, and certification agencies like JCAHO.*Develop a knowledge of the relationship of the MDS to Medicare, Medicaid, PPS, and RUGS.*Learn the characteristics of each payer source, and the implications of each on the care delivery process.
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Demonstrates consistentknowledge and application of Medicare and other reimbursement regulations. Securenecessary durable medical equipment and adaptive equipment for patients. Instruct familiesand nursing staff regarding restorative/home programs.
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Develop a knowledge of the relationship of the MDS to Medicare, Medicaid, PPS, and RUGS. Develop a knowledge of the relationship of the MDS to Medicare, Medicaid, PPS, and RUGS. Nursing Student Loan Debt Repayment and Tuition Assistance.
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The LPN/LVN will deliver care in compliance with State, Federal, and Medicare standards. The LPN/LVN works under the supervision of a Registered Nurse (RN) and coordinates care with the interdisciplinary team as well as the patient/family.
$30 - $34 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
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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.
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Knowledge of terminally ill patients and their families along with understanding of hospice concept; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, and human resource) management principles.
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Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
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These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company.
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Assist the RN and/or physician in performing specialized duties related to end-of-life care for Hospice patients. Two years experience as an LPN/LVN in a clinical setting, preferably in a home health or hospice setting.
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Senior Patient Access Specialist Staff are responsible for the pre-registration of patient accounts prior to patient visits. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
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Exact job experience is considered any of the above tasks in a Medicare certified. Meet quality assurance requirements and other key performance metricsFacilitate resolution on customer complaints and problem solvingPays attention to detail and has great organizational skillsActively listens to patients and handle stressful situations with compassion and empathyFlexible with the actual work and the hours of operationUtilize company provided tools to maintain quality.
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Great Place to Work®Most Loved Workplace® Forbes Best-in-State EmployerMedicare Specialist (Remote)PRIMARY PURPOSE: To coordinate, analyze and facilitate Medicare Compliance and Medicare Set-Aside (MSA) functions within the assigned team.
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Healthcare industry experience as it relates to risk adjustment, medical claims submissions, adjudication and payment, eligibility, encounters file management in particular for Medicaid/Medicare populations.
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General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred. Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required.
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medicare job in Dungannon, VA
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