Average salary: $120,480 /yearly
More statsSearch Results: 311 vacancies
...us transform healthcare? Bring your true colors to blue.
Reporting to the SVP, Sales & Client Management, the Director, Group Medicare Sales, is an integral member of the leadership team-driving BCBSMA's purposeful re-entry into the Group Medicare Advantage Market...
Suggested
Full time
Temporary work
Flexible hours
Shift work
...benefits package with flexible work options, career growth opportunities, and much more.
Under the supervision of the Director, Medicare Advantage Program and Innovation Operations, the Project Coordinator will work closely with all Medicare Advantage team members...
Suggested
Remote job
Flexible hours
...The Customer Service Team Leader for Medicare Advantage acts as a Subject Matter Expert within his/her team supporting the corresponding team Supervisor and members of the team by answering complex product-related claims, benefit and other questions from customers that...
Suggested
Flexible hours
...Ensures Medicare Advantage CSP guidelines and compliance with CMS regulations Identify trends within the Medicare Advantage team Provide daily direction to team members and ensure their awareness and understanding of information necessary such that c Team Leader, Customer...
Suggested
...Why This Role is Important to Us
Under direction of the Director of Medicare Compliance, the primary focus areas of this position include development and oversight of the regulatory coompliance program. This includes: Corrective Action Plan (CAP) management, regulatory...
Suggested
Remote job
Work experience placement
**Become a part of our caring community and help us put health first**
The Original Medicare ('OM') Growth Strategy Advancement Lead will design and implement the new patient growth strategy for the new Original Medicare line-of-business, with a focus on grassroots patient...
Suggested
Holiday work
Full time
Temporary work
Flexible hours
...DSNP plans offering Dental, Hearing and Vision and monthly debit card for Groceries and Utilities. AEP in quarter 4 for a year round Medicare selling opportunity.
Also a year round SEP for Veterans to enroll in the UHC Patriot Plan which includes Dental, Hearing and...
Suggested
Full time
Contract work
Part time
Second job
Local area
Remote job
Job Description
Job Description
JOB SUMMARY:
Reimbursement Representative is responsible for accurate claims submission and accurate payment of claims according to Health Plans.
MAJOR DUTIES AND RESPONSIBILITIES:
1. Assures billing processes are compliant...
Suggested
Contract work
...full remote, however the selected candidate must live and work from one of the New England states (ME, NH, VT, MA, RI, CT)
The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements...
Suggested
Local area
Remote job
...approved clinical license (e.g., LCPC, LCSW, LMFT, PhD in Clinical Psychology, etc.)
Comfort treating adolescents (13-17), adults, and Medicare clients (preferred)
Individual professional malpractice liability insurance policy
Submission of a fully completed, signed...
Suggested
Hourly pay
Full time
Contract work
Part time
Private practice
Local area
Remote job
Flexible hours
Weekend work
Afternoon shift
...communication and interpersonal skills a must?
+ Valid driver's license and reliable transportation
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations...
Suggested
Weekly pay
Flexible hours
...and/or long-term services and supports that support them.Experience working with managed care organizations (e.g. ACO, PACE, SCO, Medicare Advantage, or Integrated Care Organizations) or health plans.Experience in the application of state and federal Medicaid rules and...
Suggested
Contract work
Traineeship
...identification, and confirms and updates patient demographics, patient contacts, insurance information, and PCP.
* Completes the Medicare Secondary Payer questionnaire with all Medicare Beneficiaries.
* Assists patients with sign up for Patient Gateway and obtains...
Suggested
Remote job
...Essential Duties and Responsibilities:
# Responsible for all administrative responsibilities related to facility admissions Verifies Medicare,
# Primary and Co-insurance prior to admission Make follow-up calls to discharged patients
# Complete department data logs...
Suggested
Temporary work
Immediate start
...according to the companys clinical documentation system on a timely basis.
+ Demonstrates consistent knowledge and application of Medicare and other reimbursement regulations.
+ Communicates effectively with patients, residents, team members, customer and supervisor....
Suggested
Hourly pay
Weekly pay
Holiday work
Full time
...ethnic minority populations, and LGBTQ populations. Our studies examine the impact of health policies - with a focus on Medicaid and Medicare policy - on access to and use of care, quality, outcomes, spending, and disparities. Working in collaboration with a team of...
Full time
...required.
~3-5 years related work experience required.
~ Knowledge of ICD-10-CM, ICD-10-CM/PCS, and CPT-4 coding.
~ Knowledge of Medicare, Medicaid and third party coding requirements, including MS-DRGs, APR-DRGs and AP-DRGs.
~ Basic internet research skills.
~...
Work experience placement
Immediate start
Remote job
...proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required...
Flexible hours
...property insurance contents coverage and business interruption.
7) Provides financial data to Payment Systems Department for the Medicare cost reports.
8) Ad hoc projects for VP's and Managers
9) Maintains strict compliance with Lahey Clinic Confidentiality Policy...
...lieu of a master’s degree.
Must have basic demonstrated technology skills, including operation of a mobile device.
Medicare home health experience is preferred.
Must possess CPR certification for the healthcare provider
Must possess a valid state...
Full time
Part time
Relief
Work from home
Flexible hours
