- TEKsystems (San Diego, CA)
- …seeking compassionate and detail-oriented Patient Service Representatives to support our Medicare Redetermination efforts. In this role, you will assist individuals ... with enrolling in health plans, answer questions related to Medicare and Medi-Cal, and troubleshoot issues to ensure a seamless experience. You'll be the first point… more
- TEKsystems (Baltimore, MD)
- Job Title: AR Follow Up Representative - Medicare Schedule: Monday-Friday, 8:00 AM - 4:30 PM Work Environment: Large office setting, business casual Employment Type: ... are seeking a detail-oriented AR Follow Up Representative with strong experience in Medicare billing to join the team. This role will primarily focus on processing… more
- NTT America, Inc. (Plano, TX)
- …facilitating exclusion searches, internally auditing healthcare accounts, providing attestations for Medicare and Medicaid Advantage , and assisting with client ... ensuring our organization meets its HIPAA and healthcare-compliance-related obligations, including Medicare and Medicaid standards. This role will work closely with… more
- Humana (Baton Rouge, LA)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... Qualifications** + Master's Degree + HEDIS Diabetes Eye Exam measure + Medicare Stars experience **Additional Information** As part of our hiring process for… more
- Fallon Health (Worcester, MA)
- …for Fallon Health government and state sponsored products including Medicare Advantage , Commercial/ACA, PACE, and Medicaid. **Responsibilities** **Primary ... hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding, Medicare Risk Adjustment/ Medicare Advantage and/or clinical. Plans experience. ... clinical care plans to Risk Adjustment Data Validation (RADV) Timelines. Medicare and Medicaid regulations and billing guidelines and AMA's publication CPT… more
- Humana (Indianapolis, IN)
- …budgeting and financial management of a health plan + DSNP Experience inclusive of Medicare Advantage + Proven track record of collaborating with Medicare ... Plans (DSNP), which serve members who qualify for both Medicare and Medicaid. They will lead the state Medicaid...teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it… more
- Goodwin Living (Bailey's Crossroads, VA)
- …Services and submits work orders as appropriate. + GHBC Liaison with Medicare Advantage and all HMO/PPO plans including pre-authorization, benefits verification ... targets, developing relationships with Hospital Discharge Planners and verifying insurance as required. Develops and maintains other referral sources including… more
- University of Pennsylvania (Philadelphia, PA)
- …Medicare regulations applicable to clinical trials. + Understanding interaction of Medicare regulations and/or third-party insurance to develop clinical trial ... Penn offers comprehensive medical, prescription, behavioral health, dental, vision, and life insurance benefits to protect you and your family's health and welfare.… more
- Robert Half Office Team (Mountlake Terrace, WA)
- …Washington. In this role, you will play a key part in supporting Medicare Advantage audits and operational workflows through data analysis, process improvement, ... and analysis. * Familiarity with auditing processes and tools, especially in a Medicare Advantage context. * Excellent analytical skills with the ability to… more