- STG International (Milledgeville, GA)
- …+ Coordinate Pre-certification sand recertification in accordance with facility policies for Medicare Advantage and + commercial insurance payers. + ... Interpret the department's policies and procedures to personnel, residents, visitors and government agencies as required. + Participate in developing, maintaining, and updating written facility policies and procedures that govern the day-to-day functions of… more
- TEKsystems (Chesapeake, VA)
- …well established healthcare provider in the area A day in the role . Submit Medicare / Medicare Advantage plan claims both electronic and paper claims (UB-04 ... Medicare Patient Account Specialist You'll enjoy Full Time...terminology Core Experience: . UB-04 experience required . Strong insurance knowledge . EPIC is a plus . Need… more
- Centene Corporation (San Antonio, TX)
- …+ Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and ... procedures pertaining to: + Disclosures and provisions of the Advantage Medicare product + Enrollment and disenrollment + Develop a presence in the local… more
- Walworth County (Elkhorn, WI)
- …Medicare beneficiaries with enrollment issues regarding Medicare Part D, Medicare Part C ( Advantage Plans) and SeniorCare by providing one-on-one ... Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 Hourly… more
- TEKsystems (Rochester, NY)
- …the job - Responsible for maintaining accurate and up-to-date knowledge of all Medicare Advantage regulations and possess the ability to communicate to members ... desirable Skills Customer service Help desk Support Customer support Medicare Medicare insurance Additional Skills...We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- …submission per Medicare , Commercial, and Medicaid billing guidelines + Submission of Medicare Advantage Copy claims + As Medicare payment occurs, ... Medicare & Secondary Billing Guidelines + Previous experience billing various Medicare and Co- insurance companies and understanding the requirements for each… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …create monthly business review report that displays the key metrics of BCBSMA's Medicare Advantage business + Design and develop metrics, reports, and dashboards ... provider network analysis We're Looking for : + Experience in Government Programs, Medicare Advantage Preferred + Ability to develop strong working relationships… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …+ Solid understanding of Medicare and its related financial models, including Medicare FFS, Medicare Advantage , Medicare Part D, and ... exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive… more
- Humana (Palm Bay, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in...homes and in the community** + Active Florida Health Insurance license + Experience with technology to include high… more
- CVS Health (Carson City, NV)
- …fully remote opportunity to make a meaningful difference in the lives of our Medicare Advantage members. Our CSRs are trusted advocates who provide proactive, ... Management (WFM). **Key Responsibilities** + Respond to inquiries from Medicare Advantage members via inbound calls, online...populations + Familiarity with medical terminology + Knowledge of Medicare or other health insurance plans +… more