to deliver features that improve preventive healthcare for Medicare and Medicaid members. Responsibilities Gather and analyze... and verbal communication. Nice to Have HEDIS, STARS, Medicare, or Medicaid experience. SQL or data analytics exposure...
to Have CQRS familiarity Medicare or member data experience Bitbucket and JIRA experience Azure or AWS experience Perks & Pay...
**ANALISTA CONTABLE** CONOCIMIENTOS: 1. CONTABILIDAD GENERAL 2. CONTABILIDAD ELECTRONICA 3. MANEJO DE PAGINA DE SAT 4. PAGOS PROVISIONALES 5. DIOT 6. FACTURACION 4.0 7. COMPLEMENTOS DE PAGO 8. SISTEMA COI 9. CONOCIMIENTOS EN LEGIS...
and established Medicare and Medicaid programs scale efficiently, saving time and resources by improving staff productivity... healthcare/medicare (Health Insurance/Payer) industry. - Functional and regression testing experience and knowledge of software...
, or Healthcare Virtual Assistant with clinical nursing education. Knowledge of US healthcare insurance, Medicare Advantage, Medicaid... authorizations with MCOs, Medicare Advantage, and commercial insurers. Conduct concurrent reviews and clinical chart audits...
, or Healthcare Virtual Assistant with clinical nursing education. Knowledge of US healthcare insurance, Medicare Advantage, Medicaid... authorizations with MCOs, Medicare Advantage, and commercial insurers. Conduct concurrent reviews and clinical chart audits...
experience with Medicare and Medicaid Provide additional billing and insurance follow-up support as needed. 2. Patient Calls...
and benefits prior to scheduled services. Contact commercial insurance companies, Medicare, Medicaid, and other health insurance...
documentation quality review, ensuring patient records are accurate, complete, timely, and compliant with Medicare requirements. The... for compliance. Ensure documentation accurately supports skilled services and Medicare eligibility. Identify documentation...
, risk management, and infrastructure oversight in support of the Centers for Medicare & Medicaid Services (CMS...