- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... + Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or...ability to analyze and organize complex federal and private insurance regulations. + Working knowledge of Microsoft Office Suite… more
- TEKsystems (San Diego, CA)
- …critical in supporting patients with their health plan needs, including Medicare redetermination, eligibility inquiries, and benefit explanations. You'll be the ... and provide empathetic, solution-focused service + Maintain compliance with HIPAA and Medicare regulations + Use multi-line phone systems and internal tools to… more
- CenterWell (Charleston, SC)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... certified (ABMS or AOA) in Family Medicine or Internal Medicine + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- ChenMed (Lauderhill, FL)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- ChenMed (St. Petersburg, FL)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- CenterWell (Savannah, GA)
- …of three to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... improving consumer experiences **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- TEKsystems (Hammond, IN)
- … eligibility, updating patient records, and confirming medical necessity for Medicare procedures. You will collaborate closely with insurance verification ... Medicare patients and ensure compliance. + Coordinate with insurance verifiers to obtain authorizations for scheduled services. +...We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are… more
- CenterWell (Port Orange, FL)
- …of two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality.... Minimal Call . Comprehensive benefits package - _health insurance is effective on your first day of employment_… more
- University of Michigan (Ann Arbor, MI)
- …a highly motivated Senior Billing Clerk/Patient Account Representative to join our Medicare Advantage Hospital Billing Team. Responsible for accurate claim ... submission, resolve complex insurance inquiries and reimbursement...clean claims and collect from private insurers, Medicaid and Medicare . **Modes of Work** Positions that are eligible for… more
- CenterWell (Alice, TX)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... environment in a value-based relationship environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality...+ Minimal Call + Comprehensive benefit package - _health insurance is effective on your first day of employment_… more