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...
physician communication. Preferred qualifications: * Working knowledge of Medicare reimbursement system and coding structures..., and other forms of compensation, is $26.04 to $28.75. The exact starting compensation to be offered will be determined at the time...
and Diagnostic codes, Medicare guidelines and Managed Care contracts. Ability to interact at a professional level with physicians..., and other forms of compensation, is $24.90 to $29.10. The exact starting compensation to be offered will be determined at the time...
skills. Ability to prioritize workload and work independently. Must not be opted out of Medicare. Time and Documentation... should log the exact time worked with a maximum of 3 hours of admin time allowed per PHP patient or 2 hours of admin time allowed...
knowledge base of Microsoft Excel. Familiarity with CPT and Diagnostic codes, Medicare guidelines and Managed Care contracts... exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide...
, Medicare, and Medicaid insurance plans and formulary requirements. 4. Experience coordinating patient outreach and scheduling... exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide...
, compliance with CMS (Centers for Medicare & Medicaid Services) requirements, mock audit support and CMS plan audits support... or equivalent experience. 3-4 years of relevant Medicare (Part D and/or Part C) or other government program experience...
guidelines. 3. Strong understanding of commercial, Medicare, and Medicaid insurance plans and formulary requirements. 4..., and other forms of compensation, is $23.00 to $32.68. The exact starting compensation to be offered will be determined at the time...
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...
with leading the team with all divisional short-term and long-term planning as part of the Medicare Advantage Bid process..., market research, network management, or product development in health care industry. Medicare Advantage Bid experience...