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Medicare Ops Specialist Jobs

Medicare Specialist (Remote) ($53973.00 - $75562.00 / Year)
By Talentify.io At United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Medicare Specialist (Remote) Jobs
By Sedgwick At Delaware, United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Medicare Specialist (Remote) Jobs
By Sedgwick At Washington DC-Baltimore Area, United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Medicare Billing Specialist Jobs
By Home Healthcare, Hospice & Community Services (HCS) At , Remote
Associates degree in accounting or equivalent work experience; Bachelor’s degree preferred
A minimum of two years Medicare billing experience
Working knowledge of accounting principles and Medicare reimbursement system
Review all billing for coding accuracy.
Maintain patient information and make appropriate changes.
Communicate with Medicare, clinical and audit team to promote timely payments.
Medicare Ops Specialist Jobs
By Horizon Blue Cross Blue Shield of New Jersey At , Newark, 07105, Nj $93,000 - $127,050 a year
Requires knowledge of project management methodology.
Requires knowledge of healthcare management.
Requires the ability to apply project management methodologies and practices across multiple projects.
Collaboratively serve as a divisional resource with the Manager for health plan Medicare and Medicaid operations & STAR ratings reporting.
Requires minimum of 6 years professional business experience working preferably in a health care environment.
Requires working knowledge of PC and application software.