Average salary: $40,798 /yearly
More stats ...The Medicare Affordability Director serves as the strategic leader responsible for designing and activating innovative solutions across the Medicare organization that focus on total cost of care - all focused on delivering affordable, high-quality, and competitive solutions...
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Local area
Remote job
Work from home
...1 NP in practice
# Average 20 patients per day
# EMR: Athena
# Clia wave testing in-office lab, use LabCorp
# High volume Medicare Advantage patients, pay 50% back to physicians for annual fees from plan
#8:30 5 p.m.
#1:7 call, usually carry 5 inpatients per...
Suggested
...& D
# Off on post call day
# Go home every day if they live close enough when on call
# EMR: Cerner
#30% Blue Cross, 45% Medicare, low self-pay and Medicaid
#1:9 call
# Stable group
# Physicians get along very well and help each other out
# Good work-life...
Suggested
Holiday work
Relief
...A1C, everything else goes to Providence lab then to LabCorp, results next day or same day
# Biopsies: thyroid in-office
#45% Medicare, 50% Commercial, 5% Medicaid
# On hospital campus, walk indoors to hospital
# Call: 2 weeks on/2 weeks off
# Need to be able...
Suggested
...and automated insurance billing
Desired Qualifications:
Working knowledge of automated medical insurance billing including Medicare, Medicaid, Blue Cross and commercial
Working knowledge of medical collections
Responsibilities:
Performs billing, collection...
Suggested
...assures policies in the following manner:
# Maintains a working knowledge of and ensures the program management adheres to the Medicare Conditions of Participation.
# Supervising the compliance of all administrative functions and policies with applicable regulatory...
Suggested
Local area
Flexible hours
Shift work
Night shift
Weekend work
Weekday work
...Oak Street Health is on a mission to 'Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our...
Suggested
Full time
Relocation bonus
Flexible hours
Day shift
...neighborhood health centers that are easy to access, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care. Unlike other physician practices, a Sage Health physician has a patient panel of 40...
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Local area
Work from home
...to the patients insurance and guarantor rankings.
Researches all patients that present with no insurance through Medicaid and Medicare eligibility sites. Also research other insurance sites.
Promptly responds to all Finance and Accounting requests to ensure prompt...
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Temporary work
Local area
Shift work
Weekend work
...The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local medicare patient populations at our innovative network of neighborhood primary care centers. Our Primary Care Physicians operate at a...
Suggested
Holiday work
Full time
Local area
Immediate start
Relocation package
Flexible hours
Monday to Friday
...end close.
g. Verifies completion of various Medical Records, additional requests or
appeals by various third parties such as Medicare, Medicaid, Insurance Companies.
h. Participates in residents' admission process.
i. Meets with Executive Director...
Suggested
Contract work
Immediate start
Night shift
Weekend work
Afternoon shift
....
Consulting with nursing for medical screening of inquiries /referrals
Verifying medical insurance of potential residents (Medicare, Medicaid, other)
Interviewing potential residents and/or sponsors and complete admission packet
Qualifications:
~ Must be...
Suggested
Full time
Work experience placement
...Proficiency in medical coding, billing software, and electronic health record (EHR) systems.
• Thorough understanding of Medicaid, Medicare, and other third-party payer regulations and reimbursement processes.
• Strong communication and interpersonal skills for...
Suggested
Flexible hours
...DUTIES & RESPONSIBILITIES:
Performs various functions in the processing of insurance billing and collections, including Medicaid/Medicare claims according to the established policies and procedures and in compliance with HIPAA. Many clients' accounts require team...
Suggested
...contributing to an organization focused on continuously improving patient experiences.
Preferred Qualifications:
Experience with Medicare Advantage Global Risk Models.
Experience working in medically underserved or culturally diverse communities.
Knowledge of...
Suggested
Holiday work
Relocation bonus
...and one year of medical billing and/or collections experience in a medical office setting. Strong customer service experience preferred.
Hospital billing and claim follow-up experience relating to commercial, UHC and Medicare Advantage plans is highly preferred....
Contract work
...active/unrestricted license in state of position opening
New graduates will be considered
Must be able to be credentialed by Medicare, Medicaid, and other Private Insurance Companies
For states/markets that require state specific prescriptive authority in...
Full time
Contract work
Immediate start
....
Consulting with nursing for medical screening of inquiries /referrals
Verifying medical insurance of potential residents (Medicare, Medicaid, other)
Interviewing potential residents and/or sponsors and complete admission packet
Qualifications:
~ Must be...
Full time
Work experience placement
...certification
Preferred:
+ Minimum of one-year Hospice Care experience or LTC experience a plus
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations...
Hourly pay
Part time
Monday to Friday
...rules, and legislative regulations that impact the physicians billing and collections process; monitors and ensures compliance with Medicare and Medicaid documentation guidelines for USA Health; monitors and evaluates current reimbursement/payment rules and ensures...
...purpose of a Nurse Practitioner at Oak Street Health is to provide effective and equitable value-based primary care to adults on Medicare to keep them happy, healthy, and out of the hospital. Nurse Practitioners see patients independently and collaborate with physicians...
Holiday work
Full time
Immediate start
Relocation package
Flexible hours
Monday to Friday
...quality improvement and outcome measurement processes, models and tools, and performance measures and goals
Knowledge of Medicaid, Medicare and third-party payment systems, managed care principles, and value-based payor incentive programs.
Knowledge of Federally...
Full time
...exp a plus
Must be able to effectively communicate with elderly and chronically ill patients and families;
Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial;
Ability to multitask;
Excellent customer service skills;
Bi-lingual...
Local area
Immediate start
Remote job
...Qualifications:
Knowledge of HEDIS/STARS
Knowledge of CAHPS and HOS
Experience working in medically underserved/culturally diverse communities
Experience working in Medicare Advantage Global Risk Models
For more Healthcare opportunities, go to:
#MASC102...
Holiday work
Relocation bonus
...for the Access to Care department:
Runs and researches all consumers that present with or without insurance through Medicaid, Medicare, and other commercial insurance eligibility websites as appropriate
Completes financial information and eligibility.
Notifies...
Full time
...role will be responsible for executing on the roadmap for improving Affordability and Total Cost of Care initiatives as part of the Medicare Business Optimization effort. This role will be a key member of the team who will be responsible for identifying initiatives and...
Full time
Local area
Immediate start
Remote job
Work from home
...flexible and positive attitude who are driven to improve the lives of the individuals that OSH serves.
~Passion for working with Medicare-eligible populations, including older adults, adults with disabilities, and adults with severe and persistent mental illness
~Someone...
Work experience placement
Immediate start
Flexible hours
...exceptional, thoughtful care to a population with complex clinical and social needs.
Heres what youll do:
Manage a panel of Medicaid/Medicare patients, delivering high-quality and personalized care in a variety of settings, including in patient homes, in clinic, and...
Permanent employment
Local area
Remote job
...experience required.
C.H.P.N certification is highly desirable.
Must have strong knowledge of governmental hospice regulations, Medicare eligibility requirements, comprehensive understanding of potential care plan needs for the patient and coordination of necessary...
...have a Manage Care Group providing high quality health care in Mobile Alabama. They"re looking for a Primary Care Physician to see Medicare and Medicare Advantage patients.
We offer a Quality Work/Life experience
Well established group with years in the Managed...
Holiday work
Full time
Monday to Friday