- SCAN (Long Beach, CA)
- …corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, ... ideal candidate will have experience managing AEP readiness efforts within a Medicare Advantage environment and supporting other enterprise programs requiring… more
- InterDent Service Corp (Oregon City, OR)
- …to increase patient referrals, market share and/or reimbursements. Review opportunities in Medicare Advantage plans, state Medicaid programs outside of Oregon ... of various dental benefit models (FFS, Indemnity, PPO, EPO, DHMO, Discount, Medicaid, Medicare Advantage ). Ideally has at least 10 years experience in the… more
- CommuniCare Family of Companies (Indianapolis, IN)
- …submission per Medicare , Commercial, and Medicaid billing guidelines Submission of Medicare Advantage Copy claims As Medicare payment occurs, identify ... Medicare & Secondary Billing Guidelines Previous experience billing various Medicare and Co- insurance companies and understanding the requirements for each… more
- #TeamGoHealthSalesIL (Chicago, IL)
- …business. Quickly grasp new concepts and product offerings, such as Major Medical, Medicare Advantage , Medicare Supplement, Prescription Drug Plans, final ... into a leadership role. Your Role As a hybrid Medicare and Life Advocate Agent, you'll serve as a...a trusted expert on all things Health and Life insurance -related and have access to the nation's best carriers.… more
- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …clinical and operational programs within NEMS MSO, with a primary focus on the Medicare Advantage line of business . This role is essential in ensuring ... plan partners to align UM strategies and ensure compliance with CMS, DHCS, and Medicare Advantage program requirements. 2 . Case Management (CM): Support and… more
- Home Health Advantage INC. (Orland Park, IL)
- We are Home Health Advantage . A patient centered, home health agency looking for a full-Time Intake Coordinator for our rapidly growing organization. We are ... attention to detail and follow-up skills *Experience working to review insurance verification, initiate per-certifications, and enter insurance data correctly… more
- TEKsystems (Salem, OR)
- Based out of Oregon, one of the fastest growing Healthcare Insurance companies focused on Medicare Advantage Plans is interested in hiring Customer Service ... more growth. Description Provide excellent customer service to all Medicare Advantage members. Assist with coverage and...Plan - Pre-tax and Roth post-tax contributions available *Life Insurance (Voluntary Life & AD&D for the employee and… more
- Complete Health (Henrico, VA)
- …record Basic knowledge of Medical Insurance is preferred Basic knowledge of Medicare plans including Medicare Advantage (MA) HMO, PPO, C-SNP, D-SNP; ... assistance on state's Medicaid programs Identifies patients for conversion into VBC Medicare Advantage and/or Medicaid (Duals) plans by using the "Age-in"… more
- StateJobsNY (Staten Island, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered… more
- Sedgwick (Roseville, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Roseville or San Diego, CA Are you ... both learn from and to share your insights. Take advantage of a variety of professional development opportunities that...Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds… more
- Inland Empire Utilities Agency (Chino, CA)
- …benefit allowances to go towards the cost of medical, dental, and vision insurance Competitive vacation, floating holiday, sick time in addition to 12 agency paid ... holidays Education Reimbursement up to $5,250 per fiscal year Basic life insurance coverage provided Wellness Stipend of $500 per fiscal year 457b Deferred… more
- Hoag Memorial - Red Hill Clinic (Costa Mesa, CA)
- …with the HCFA 1500 forms. *Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage , Covered California (Exchange), capitation, commercial and government payors ... the account representative for the Client in working with insurance companies, government payors, and/or patients for the resolution...(ie Medicare , Medi-Cal, Tricare, etc), and how these payors process… more
- EvergreenHealth (Kirkland, WA)
- …multiple systems and/or educates patients on co-insurances/co-pays, self-pay, L&I, MVA, Medicaid, Medicare / Medicare Advantage , etc. Markets the benefits of ... of basic medical terminology/common medications Knowledge and experience accessing/verifying insurance coverage. Experience using Real Time Eligibility (RTE) and… more
- National Recruiters (Martinsburg, WV)
- …interested in a flexible PRN role conducting in-home Health Risk Assessments (HRAs) for Medicare Advantage members. This is a great way to supplement your ... physicians included What you'll do: Complete comprehensive in-home HRAs for Medicare Advantage patients Review each patient's medical history, current… more
- Irvine Ranch Water District (Irvine, CA)
- …pay. IRWD does not participate or pay into Social Security except for the Medicare portion. Medical Insurance IRWD contracts with CalPERS for medical ... These benefits include the following: retirement benefits; medical, dental, vision, and life insurance ; and a variety of other benefits. Benefits may vary based on… more
- MVP Health Care (Greenwich, NY)
- …Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans ... in the health care industry such as a hospital, medical office, or health insurance company The ability to speak more than one language (for example, English and… more
- StateJobsNY (Staten Island, NY)
- …with free off-street parking. The compensation package includes New York State Health Insurance Program (NYSHIP) insurance , a generous sick leave and vacation ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- UHS (Reno, NV)
- …in 2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage , Accountable Care Organizations, and commercial ... demands strong leadership skills, in-depth knowledge of healthcare billing and insurance procedures, and a commitment to delivering exceptional customer service.… more
- Molina Healthcare (Long Beach, CA)
- …Marketing, Sales, Bilingual, Spanish, , Bilingual, Spanish, Spanish Speaking, MCO, Medicare Advantage , Waiver, healthcare, Health Care, LTSS, IPA, Salesforce, ... highly desirable. Preferred License, Certification, Association: Active Life & Health Insurance Market Place Certified To all current Molina employees: If you… more
- Sante Health (Fresno, CA)
- …for all lines of business. Accountable Care Organization (ACO) Commercial HMO Medicare Advantage Supervise and evaluate department staff. Assure Sante meets ... and encourage participation in programs. Initiate programs and process to increase Medicare Advantage Risk Adjustment Factor rates. Manage Sante Quality… more
