, including overnight stays. Preferred Job Requirements 5+ years of Medicare Review and Medicare Advantage Health Plan... authorization experience within a Medicare Advantage or managed care environment. Exceptional clinical knowledge combined...
and federal regulatory requirements, including, but not limited to, Centers for Medicare and Medicaid Services (CMS), State... of CMS, NCQA, Medicare, Medicaid, and other regulatory requirements related to quality of care reviews and investigations...
liaison between the Intake team and operations teams, supporting Medicare, and Star Ratings related business initiatives... of healthcare industry or health insurance work experience Previous experience with Medicare Strong written and oral communication...
for ensuring the quality, accuracy, and regulatory compliance of business and technology solutions that support Medicare operations... supporting healthcare-related lines of business, preferably within Medicare, Medicare Advantage, Medicaid, or Health Insurance...
and occasional field visits | Exact daily hours to be confirmed Benefits: Medical, dental, and vision coverage;paid holidays... technology Commitment to BAYADA's mission and The BAYADA Way Preferred Home health, Medicare-certified home health, hospice...
to our assays while aligning with Exact Sciences goals and objectives. Location: This is a remote position;candidates must reside... and across payer segments;including Medicare Advantage, Blues, Medicaid, etc. Collaborate with RCT Managers and specialists...
compliance with Medicare Conditions of Participation, state regulations, accreditation standards, and organizational policies... candidate’s relevant experience, qualifications, and the specific responsibilities of the position. The exact compensation rate...
partners, and Centers of Influence, while executing local and national sales strategies across Medicare products... Medicare Marketing Guidelines and organizational policies. JOB REQUIREMENTS: Bachelor degree and 4 years health insurance...
in accordance with the established plan of care.Maintain timely, accurate documentation that meets Medicare, CHAP, and agency...'s exact location, experience, and expertise related to the qualifications.RVNAhealth is an Equal Opportunity Employer...
.Familiarity with Medicare Part B regulations and billing for in-home outpatient services.Strong clinical, communication... will be determined based on careful consideration of a variety of factors, such as the candidate's exact location, experience...