Average salary: $57,949 /yearly
More statsSearch Results: 38 vacancies
...motivated self-starter, GoHealth could give you the knowledge and pay structure you need to become a healthcare sales superstar. As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access...
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...contribute to Sedgwick being a great place to work.
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Forbes Best-in-State Employer
Medicare Specialist (Remote)
**PRIMARY PURPOSE** **:** To coordinate, analyze and facilitate Medicare Compliance and Medicare Set-Aside (...
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Remote job
Local area
Flexible hours
...turn ideas into reality and plans into promises. Now, it's time to enjoy a career that values and rewards what makes you tick. As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access...
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Full time
Temporary work
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Work from home
Flexible hours
...Description
Audit & Reimbursement Senior - Medicare Cost Report Audit
Locations: This is a virtual position, the ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.
National Government Services is a proud member of Elevance Health...
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...Experience in utilization management or related activities reviewing criteria to ensure appropriateness of care preferred
Previous Medicare experience a plus
Milliman MCG experience preferred
Additional Information
Hours: 8am-5pm EST
Work-At-Home...
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Weekly pay
Holiday work
Full time
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Apprenticeship
Home office
...dentistry in the State of WV
2. Current CPR (BLS) certifications. ACLS preferred
3. West Virginia NPI and DEA registrations
4. Medicare and Medicaid provider numbers
Skills and Abilities:
Requires a comprehensive knowledge of primary dental care in...
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Full time
Temporary work
Local area
Relocation bonus
Weekend work
Afternoon shift
...Current RN license in West Virginia
Prior Long Term Care experience required
At least 2 years of experience with Federal Medicare/Medicaid and Managed Care reimbursement system management in working with the MDS and RAI process. Minimum 3 years preferred.
Senior...
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Immediate start
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...working with and educating NPs
Preferred Qualifications:
+ Health care management/leadership experience
+ Familiarity with CMS, Medicare Advantage, SNP Rules and Regulations
+ HCC and Risk Adjusted reimbursement methodology
+ Inpatient/SNF utilization metrics and...
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Full time
Local area
Flexible hours
...Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
* Excellent oral and written communication, including presentation...
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Local area
...We're hiring board-certified physician assistant/physician associate (PA) contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
Conduct in-home visits that focus on a person's overall health and well...
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For contractors
Relief
Flexible hours
Shift work
Night shift
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Sunday
...Travel
Job Description:
Supplemental Health Care is seeking Registered Nurses in Charleston, West Virginia with prior OASIS/Medicare Certified Visits for contract assignments with a partnering home health agency. Local or travel, we want to connect you with assignments...
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...scale.
+ Hands-on experience and familiarity with complex care management and programs in valued-based care, senior care, and/or Medicare.
**Knowledge/Skills/Abilities/Competencies Required**
+ Expertise in understanding of population health and full-risk...
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Apprenticeship
Local area
Flexible hours
...Case Management experience is preferred
+ Demonstrate effective, empathetic and professional communication
+ Clear knowledge of Medicare (A, B, C, D)
+ 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred
+ 1-2 years of...
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Monday to Friday
...maximize overall efficiencies.
Manage individual projects for timely review with the Director, Clinical Pharmacy.
Participate in Medicare Stars performance measures to drive contribution to excellence (5 Stars).
Other duties as assigned or requested....
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...providing its patients and clinicians with the ideal working environment. Productivity standards are 80-85%. 1:1 patient care for all Medicare patients. This is a beautiful facility with a well-spaced Rehab Gym, Supportive Assistants, Dedicated Nursing, and an...
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Private practice
Local area
Relocation package
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...under little supervision and act as a team member.
# Familiar with current managed care, State and/or Federal healthcare programs (Medicare, Medicaid) and the insurance industry.
# Experience in managed care, State and/or Federal health programs.
# Certified Medical...
Remote job
...are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents
Competency, Skills and Abilities: Excellent customer service...
Flexible hours
...is preferred
High School diploma or equivalent preferred
Patient Support Service experience, preferred
Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred
Knowledge of DME, MAC practices if...
Hourly pay
Full time
Temporary work
Work experience placement
Local area
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Flexible hours
Shift work
Monday to Friday
...written, verbal, and group.
Proficient knowledge and understanding of the payer landscape including commercial, Medicaid, and Medicare.
Candidates must have excellent presentation & organizational skills and be proficient with a PC (PowerPoint, Word, Excel, and...
Holiday work
Local area
Immediate start
Night shift
...care model is a Physician Led Advanced Geriatric Care Program focused on the quality of care of the frail, poly-chronic, and elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to overall health care. To address...
