- HCA Healthcare (Kansas City, MO)
- …the case manager's role, Rehab philosophy, continued stay and discharge criteria, Medicare and insurance benefits, grievance procedures, treatment plan process, ... the case manager's role, Rehab philosophy, continued stay and discharge criteria, Medicare and insurance benefits, grievance procedures, treatment plan process,… more
- WTW (Philadelphia, PA)
- …contracting background. The preferred candidate may also have knowledge of ERISA, state insurance laws, Medicare , and/or experience in the employee benefits or ... prior in-house experience a plus but not required. + Employee benefits, Medicare , health insurance , ERISA and/or regulatory background preferred. + Strong… more
- Actalent (Little Ferry, NJ)
- …offices. + Utilize the Bright Tree System to navigate NJ HMO websites, commercial insurance portals, and Medicare systems. + Contact insurance providers to ... + Insurance knowledge. + Bilingual in Spanish/English preferred. + Prior insurance verification experience with Medicare , Medicaid, and private insurance… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …agency, the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school ... Professions, the Office for People With Developmental Disabilities (OPWDD), Medicaid, Medicare , insurance companies, municipalities, Department of Health, school… more
- Highmark Health (Pittsburgh, PA)
- …feature set. Highlights of the ideal candidate experience: * Strong knowledge of Medicare Advantage and D-SNP insurance products * Understanding of Medicare ... managing vendor relationships for health-related services * Experience analyzing Medicare Advantage insurance product financial performance * Experience… more
- Sanford Health (MN)
- …The Insurance Representative processes and monitors unpaid third party insurance , Medicare , Medicaid or government-assisted program accounts for proper ... requested by payers. Proactively identifies and performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in… more
- Lumeris (NH)
- …management certification + Previous experience as a telephonic case manager for a Medicare insurance plan **Working Conditions** + While performing the duties of ... **Position Summary:** Provides telephonic care and case management to Medicare members as part of a multidisciplinary care team....+ Tax-Advantage Savings Accounts (FSA & HSA) + Life Insurance and Disability Insurance + Paid Time… more
- The Arc Erie County NY (Williamsville, NY)
- …agency, the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school ... Professions, the Office for People With Developmental Disabilities (OPWDD), Medicaid, Medicare , insurance companies, municipalities, Department of Health, school… more
- Trinity Health (Columbus, OH)
- …industry experience required. **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other ... in accordance with Federal regulatory requirements and the Centers for Medicare and Medicaid Services (CMS). Responsible for ensuring the eligibility, demographic… more
- Sharp HealthCare (Coronado, CA)
- …or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans. Medicare patients - Medicare Secondary Payer (MSP) ... and receipts in accordance with department standard. + Completes insurance verification and evaluationInsurance/Plan Selection:After medical screening (ER settings),… more