- Humana (Raleigh, NC)
- …includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind… more
- New York State Civil Service (Ogdensburg, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more
- Centene Corporation (Austin, TX)
- …fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing, ... Develop, plan, lead, monitor, and own multiple, concurrent resultant Medicare Supplemental Benefits utilizing cross functional teams to deliver defined… more
- New York State Civil Service (West Brentwood, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more
- ConvaTec (Oklahoma City, OK)
- …with patients. English, and Spanish speaking if bilingual + Coordinate, follow-up on Medicare patients; ensure shipments do not go out without a confirmation + Call ... and confirm Medicare orders with customers through call system and via...clients regarding orders & customer service issues + Request Medicare documentation on Medicare clients + Contacts… more
- New York State Civil Service (Brooklyn, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more
- Beth Israel Lahey Health (Burlington, MA)
- …compliance with coding guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare 's yearly fee schedule, Medicare Website, ... and specialty newsletters. 3. Makes guidelines available via, paper, on-line access, web access, or any other means provided by manager. **Organizational Requirements:** 1. Maintain strict adherence to the Lahey Health Confidentiality policy. 2. Incorporate… more
- Robert Half Office Team (Monterey Park, CA)
- …an exciting opportunity to support diverse communities while leveraging your Medicare knowledge and bilingual communication skills. Active California Life & Health ... inbound and outbound calls to prospective members. + Present and promote Medicare Advantage products per CMS-approved guidelines. + Conduct needs assessments and… more
- ICF (St. Paul, MN)
- …this program, ICF will investigate potential fraud, waste, and abuse in Medicare and Medicaid programs. The Chief Statistician will apply deep statistical expertise ... to detect and prevent fraud, waste, and abuse in Medicare and Medicaid programs. This role requires extensive experience...knowledge of health care information, with an emphasis in Medicare Fee For Service and/or state Medicaid programs. +… more