• Hospital Patient Account Rep

    Robert Half Accountemps (Van Nuys, CA)
    …The Hospital Patient Account Rep will also be responsible for managing Medicare managed care, commercial, PPO/HMO and Medical managed care. Responsibilities: * ... hospital billing and collection processes with accuracy and efficiency * Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care * Provide… more
    Robert Half Accountemps (08/26/25)
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  • Primary Care Physician

    CenterWell (Anderson, SC)
    …least 2 years of relevant experience + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Experience managing Medicare ... for coordinated care in a value-based healthcare setting + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual… more
    CenterWell (08/19/25)
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  • Billing & Certified Coding Specialist II

    Beth Israel Lahey Health (Burlington, MA)
    …and reports them to the Billing Supervisor. 2. Responds to incoming insurance /office calls with professionalism and helps to resolve callers' issues, retrieving ... forms for the accuracy of procedures, diagnoses, demographic and insurance information, as well as all other fields on...guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare 's yearly fee schedule, … more
    Beth Israel Lahey Health (08/08/25)
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  • Primary Care Physician

    CenterWell (Spartanburg, SC)
    …least 2 years of relevant experience + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Experience managing Medicare ... for coordinated care in a value-based healthcare setting + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual… more
    CenterWell (07/28/25)
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  • Director & Actuary- Valuation

    Health Care Service Corporation (Nashville, TN)
    …financial reporting functions. HSB is a profitably growing division selling Medicare Supplement and other Supplemental Health and Life products. Current annual ... and implement reserving/financial processes to coincide with new product and Medicare Supplement charter launches. * Own and execute Sarbanes-Oxley controls and… more
    Health Care Service Corporation (09/27/25)
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  • Digital Analytics Lead- eCommerce

    Humana (Tallahassee, FL)
    …industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new digital ... capabilities, new ways of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is part of this expanding Digital… more
    Humana (09/26/25)
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  • Lead Digital Product Manager - Platform

    Humana (Providence, RI)
    …industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new digital ... capabilities, new ways of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is part of this expanding Digital… more
    Humana (09/25/25)
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  • Patient Referral Coordinator

    ChenMed (Pembroke Pines, FL)
    …role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
    ChenMed (09/25/25)
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  • Principal, Stars Enterprise Activation

    Humana (Louisville, KY)
    …Activation Principal develops, implements, and manages oversight of the company's Medicare /Medicaid Stars Program. Directs all Stars quality improvement programs and ... years of quality improvement and/or developing and advancing enterprise strategy + Medicare Advantage experience + CMS Stars program experience + Previous leadership… more
    Humana (09/25/25)
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  • Care Coordinator (Referrals Coordinator)

    ChenMed (Hollywood, FL)
    …that works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
    ChenMed (09/25/25)
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