Average salary: $122,316 /yearly
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$35 - $42 per hour
...environment Preferred Experience in the private medical industry, health insurance or Managed Care field Familiarity with TRICARE and the military healthcare delivery system Key Responsibilities Serves as the subject matter expert and resource on ICD...SuggestedFor contractorsFor subcontractorInterim roleRemote workWork from homeShift work- ...experience in QNXT - specifically for claim adjustments? Have you worked on provider dispute resolution under a Medicare Advantage or TriCare line of business? Have you worked with PPM (Payment Policy Management) edits - the coding and billing side of dispute review?...SuggestedRemote work
$114.8k - $187.4k
...Calculations include: Medicaid, Medicare Part B, Public Health Service (PHS)/340B, and Federal Supply Schedule (FSS), which includes: TriCare and the Industrial Funding Fee (IFF). The Associate Director will work collaboratively with Contracting Strategy supporting the...SuggestedRemote jobContract work- ...oral communication especially in case formulation and presentation. Demonstrate an understanding of requirements and benefits of TRICARE and effectively communicate these to assigned caseload. Prepare and maintain convenience file, outpatient medical record, and...SuggestedRemote jobFull timeFlexible hours
$95k
...and collaboration with families and teachers within funding requirements. Maintain knowledge of State and Federal specific laws, Tricare/Governmental programs, Medical Insurance Providers, Medicaid Waiver Programs and ensure compliance with regulations. Promote the...SuggestedRemote jobFull timeWork at officeWeekend workAfternoon shift