- University of Rochester (Rochester, NY)
- …on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. This role involves in-depth communication, collaboration, and ... adding newborns onto policy. + Determine the primary payer through knowledge of Medicare and other payer regulations for the coordination of benefits. + Notify… more
- Robert Half Accountemps (Land O' Lakes, FL)
- …on managing accounts receivable for various secondary insurance balances, including Commercial, Medicare Advantage , Blue Cross, Workers Comp, Auto, and other ... patient billing processes. * Familiarity with secondary insurance payers, including Commercial, Medicare Advantage , and Workers Comp. * Ability to handle claim… more
- CenterWell (Arlington, TX)
- …and nurture relationships with brokers and intermediaries specializing in senior healthcare, Medicare Advantage , and value-based care models. + Identify and ... healthcare and value-based care models. + Deep understanding of Original Medicare , Medicare Advantage , and other senior healthcare insurance products. +… more
- Humana (Nashville, TN)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience… more
- Humana (Topeka, KS)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... filing, reporting & analysis, reserving or trending) **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience working… more
- Ankura (NC)
- …firm or large to mid-size consulting firm in the payer and government programs ( Medicare Advantage and Part D, ACA, Medicaid, etc.) with experience working in ... financial and operational performance. Specific expertise in PACE program operations and Medicare Advantage Special Need Programs (ISNP, CSNP, DSNP) Model of… more
- CareFirst (Baltimore, MD)
- …for the jurisdictions of Maryland, DC, and Virginia Upon Hire Required. + Annual Medicare Advantage certification testing and CareFirst required Medicare ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Medicare Sales **Equal Employment Opportunity** CareFirst BlueCross BlueShield is… more
- Southeast Health (Dothan, AL)
- …Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage /Replacement inventory to full resolution. ... to obtain accurate reimbursement; + Understands the use of and navigation of Medicare 's DDE system and other governmental and commercial payer websites for claim… more
- CenterWell (Woodstock, GA)
- …to make an impact** **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid ... provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines.… more
- Logan Health (Kalispell, MT)
- …adjustments based on government regulations. Additionally, this role works heavily with Medicare and Medicare Advantage plans and requires familiarity ... Fluent in English, both spoken and written. Preferred Qualifications: + Experience with Medicare and/or Medicaid UB-04 & CMS-1500 claim forms. + Advanced skills in… more