- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, the Medicare Advantage Premium Billing Analyst plays a vital role in ensuring ... - Enrollment, Disenrollment and Reconciliation * Robust knowledge of Medicare and CMS enrollment and billing regulatory...knowledge of Medicare and CMS enrollment and billing regulatory requirements * In depth knowledge of … more
- UCLA Health (Los Angeles, CA)
- …experience in a Medicare or Managed Care environment managing enrollment, claims, premium billing or encounters project is required * Minimum of 5 years' ... do all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well as… more
- Fallon Health (Worcester, MA)
- …external SLA's. With speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage , Medicare Supplement, NaviCare, Summit Elder Care, ... **Overview** **This Enrollment & Billing Operations Rep III position will require working...with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Medical Mutual' ... **_The Membership Billing Representative - TPA position allows you the...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Universal Health Services (Reno, NV)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... & Billing Analyst for Membership Enrollment and Premium Billing plays a crucial role in...and PDP), Other Skills: Must possess previous experience processing Medicare Advantage enrollment applications and generating letters… more
- Catholic Health Initiatives (Lexington, KY)
- …with the patient, completes, files, and follows to resolution applications for Medicaid, Medicare Advantage , Medicare Supplemental policies, Medicare ... Reporting to the Market Manager of the Oncology Support Services, the Billing Specialist II (Financial Navigator) will be responsible for providing financial… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Completes ... **Responsibilities** . Processes and handles operational functions such as premium receipts, claims billing and receipts, vendor...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Universal Health Services (Reno, NV)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... health insurance administration solution which provides benefit management, claims adjudication/payments, premium billing and other core functions is highly… more
- Dignity Health (Gilbert, AZ)
- …Committee regarding opportunities for improvement of patient care, resource utilization, billing compliance and reduction of claims denials. + Provide compliance ... element for Centers for Medicare and Medicaid Services (CMS)Conditions of Participation (COP) by...support you and your family:** + Medical/Dental/Vision Insurance (no premium for employee benefits) + Flexible spending accounts +… more