- Fallon Health (Springfield, MA)
- …hope_ , we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief ... high paced customer service or sales environment. + Knowledge of Medicare , Medicaid and insurance products is desirable. + Knowledge of customer service, sales,… more
- Molina Healthcare (Essex, MA)
- …**Required Education** High School diploma/GED **Required Experience** 2+ years Medicare , Medicaid, managed care or other health/ insurance related ... for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved… more
- Humana (Boston, MA)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Athena Health Care Systems (Marlborough, MA)
- …letters per CMS regulations. + Assures appropriate management of residents' Medicare / Insurance benefits. + Maintains adequate systems to ensure appropriate ... policies and procedures and protects residents' individual health information. + Maintains Medicare meeting minutes per Medicare program agreement. + Issues and… more
- Athena Health Care Systems (Sandwich, MA)
- …letters per CMS regulations. + Assures appropriate management of residents' Medicare / Insurance benefits. + Maintains adequate systems to ensure appropriate ... policies and procedures and protects residents' individual health information. + Maintains Medicare meeting minutes per Medicare program agreement. + Issues and… more
- Gentiva (Auburndale, MA)
- …and administrative workflows such as documentation of referrals, DME pickups, Medicare eligibility, insurance verifications, and patient benefit tracking * ... care coordination * Strong understanding of hospice principles, industry regulations ( Medicare , Medicaid, JCAHO, ACHC), and best practices * Familiarity with managed… more
- Fresenius Medical Center (Dorchester, MA)
- …coordinate insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal ... and annual indigent waivers. + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include… more
- WellSense (MA)
- …provider relations or network management required** + **Experience in the Medicare provider healthcare insurance industry preferred** **Certification or ... an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works… more
- Humana (Boston, MA)
- …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... (work at home) + This role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside of bid season + The role… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer ... Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to… more