- Tufts Medicine (Lowell, MA)
- …the program. + Works with hospice intake and eligibility department to verify insurance reimbursement for each referred patient and document in EMR. + Reviews and ... explains to patient and/or family about insurance coverage and financial obligations, using knowledge of hospice fees, costs and reimbursement sources. Escalates to… more
- Humana (Baton Rouge, LA)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... Qualifications + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid, or other Medical management organizations, hospitals/… more
- New York State Civil Service (Corinth, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...and support services to address their personal needs.* Life insurance and Disability insurance .* The New York… more
- Geisinger (Williamsport, PA)
- …of Geisinger throughout the assigned region. Job Duties Cultivates new sales of Medicare Advantage HMO and PPO plans, and Medicare supplemental plans. Influences ... developing sales strategies to implement in designated region. Deliver sales presentations to Medicare eligible audiences in a group setting as well as in a home… more
- New York State Civil Service (Staten Island, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...and support services to address their personal needs.* Life insurance and Disability insurance .* The New York… more
- Humana (Charleston, WV)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid/ Medicare . Looking for long-term improvements of encounter submission processes. Begins to… more
- New York State Civil Service (NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...and support services to address their personal needs.* Life insurance and Disability insurance .* The New York… more
- New York State Civil Service (Rochester, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...and support services to address their personal needs.* Life insurance and Disability insurance .* The New York… more
- Travelers Insurance Company (Walnut Creek, CA)
- …Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as ... also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and offsets. + Communicate and apprise all parties regarding… more
- Humana (Nashville, TN)
- …judgment and decision making on complex issues related to our Medicare and Medicaid provider contract templates. Key responsibilities include creation and ... overseeing the development, maintenance, and optimization of provider contracting templates for Medicare and Medicaid lines of business. This role ensures that all… more