- Centene Corporation (Houston, 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
- Humana (Concord, NH)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid products, or other Medical… more
- MVP Health Care (Schenectady, NY)
- …every interaction. **Your key responsibilities:** + Conduct all phases of the Medicare Advantage sales process, including identifying, qualifying, and meeting ... and related experience. + Active NYS Accident & Health Insurance License (must maintain continuous licensure). + Valid driver's...with prospective clients. + Present Medicare Advantage (MA) products to achieve company… more
- Humana (San Juan, PR)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance . + Experience with ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand… more
- Kelly Services (Fairport, NY)
- …line with established policies and procedures. + Maintaining current knowledge of Medicare Advantage regulations and corporate policies. + Skillfully resolving ... yes, please see this opportunity!** **Kelly(R) is seeking a Medicare Customer Satisfaction Advocate to work at a top... Customer Satisfaction Advocate to work at a top insurance client in the Fairport, NY/Perinton Hills Shopping Center… 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. ... guidelines for billing; + Ability to verify and load insurance coverages correctly for accurate billing; + Provides claim...reimbursement; + Understands the use of and navigation of Medicare 's DDE system and other governmental and commercial payer… more
- TEKsystems (Baltimore, MD)
- TEKsystems is hiring a Medicare Biller to work for a client located in the Baltimore, Maryland area. These positions will offer an ONSITE schedule for both training ... and normal shift. Qualifications -Must have at least 2-3+ years of Medicare Billing experience -Must have knowledge of claim submission/denials process -EPIC… more
- Humana (Denver, CO)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance . + Experience with ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage , and Medicaid requirements and will… more
- TEKsystems (Baltimore, MD)
- …highly preferred but not needed! Description Will be mainly focused on their Medicare billing (80-100 claims/month) and will be working other commercial payers when ... caught up on medicare Timely resolution and collection of assigned account balances...requests for assigned account balances. After determining that all insurance has been processed and paid appropriately, changes the… more
- Erickson Living (Bethesda, MD)
- …The Grandview by Erickson Senior Living We are seeking a dedicated and dynamic Medicare Sales and Customer Service Manager to join our team. In this role, you ... will be responsible for executing the strategic objectives of the Erickson Advantage sales and marketing plan within the community. Serving as the primary point of… more