- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …The Impact You Will Have We are looking for an Actuary for our Medicare Provider Relations team! You will apply broad actuarial principles and modeling technical ... in the areas of health insurance primarily for the Medicare line of business. As a key part of...line of business. As a key part of the Medicare Provider Relations team, independent actuarial analysis, actuarial judgement,… more
- Ventura County (Ventura, CA)
- …for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal ... expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual and TAR process, they… more
- AdventHealth (Altamonte Springs, FL)
- …activities. These activities include preparation and filing the annual Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening and ... of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for creating a… more
- UTMB Health (Galveston, TX)
- …calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional **Responsibilities:** + Responsible ... for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to, cost report… more
- Luke Staffing (Butner, NC)
- …Proficient in database software. . Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to: . Medicare ... . Medicare Outpatient Prospective Payment System . Medicare Ambulatory Surgical Center Payment Rates . Medicare Part B Physician Fee Schedule . Medicare … more
- Centers Plan for Healthy Living (Staten Island, NY)
- …need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...to various Centers Plans or Healthy Living Advantage Care Medicare HMO Plan sites located throughout the five (5)… more
- Fresenius Medical Center (Hoover, AL)
- …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). + ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
- BlueCross BlueShield of North Carolina (NC)
- …10 AM - 7 PM EST (Monday - Friday) **What You Will Do** + Engage Medicare members, pharmacies, and providers to close adherence and SUPD (Statin Use in Persons with ... Diabetes) gaps. Complete Comprehensive Medication Reviews (CMRs) with Medicare members. + Make outreach to Medicare ...with Medicare members. + Make outreach to Medicare members to assist in removing barriers to medication… more
- Elevance Health (Independence, OH)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs. The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for … more
- Fresenius Medical Center (San German, PR)
- …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs, and COBRA). + ... Discusses insurance options when insurance contracts are terminated. + Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more