<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Job Title</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Independence Blue Cross is seeking a motivated co-op marketing intern in Philadelphia.</p>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Your Responsibilities</h2>
 <ul style="padding-left: 20px; margin: 10px 0;">
 <li style="margin: 10px 0; line-height: 1.6;">Developing content for campaigns</li>
 <li style="margin: 10px 0; line-height: 1.6;">Updating marketing materials</li>
 <li style="margin: 10px 0; line-height: 1.6;">Tracking campaign performance</li>
 </ul>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Qualifications</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">We're looking for junior or senior undergraduate students or recent graduates with strong communication skills and a proactive approach. Ideal candidates should have a GPA of at least 3.0 and be prepared to work in a team environment, contributing to innovative marketing strategies for Medicare services.</p>
</section>

Medicare Marketing Co-op: Content & Campaigns

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Overview</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!</p>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Responsibilities</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid. This includes maintaining the deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure.</p>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Qualifications</h2>
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Education and Work Experience</h2>
 <ul style="padding-left: 20px; margin: 10px 0;">
 <li style="margin: 10px 0; line-height: 1.6;">Minimum of three years hospital managed care/commercial collector experience.</li>
 <li style="margin: 10px 0; line-height: 1.6;">2 years of recent hospital Medicare billing experience in an automated environment.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Associates degree or equivalent work experience required.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Knowledge of contract interpretation.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Familiar with hospital billing requirements.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Knowledge of out of state Medicaid billing guidelines.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Knowledge of basic Medicaid/Medicare billing rules, regulations, and deadline.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers.</li>
 </ul>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Employment Status</h2>
 <p><strong>Employment Status:</strong> Full Time</p>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Shift</h2>
 <p><strong>Shift:</strong> Days</p>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Pay Transparency</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $25.70 to $38.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.</p>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Equal Employment Opportunity</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf</p>
</section>

Sr Medicare Medicaid Biller Collector

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Job description</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">A company is looking for a Specialist, Medicare.</p>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Key Responsibilities</h2>
 <ul style="padding-left: 20px; margin: 10px 0;">
 <li style="margin: 10px 0; line-height: 1.6;">Prepare and submit accurate Medicare claims, ensuring compliance with guidelines and resolving any billing discrepancies</li>
 <li style="margin: 10px 0; line-height: 1.6;">Review patient accounts, reconcile payments, and communicate with patients regarding their Medicare coverage and billing inquiries</li>
 <li style="margin: 10px 0; line-height: 1.6;">Investigate denied or underpaid claims, prepare appeals, and monitor aging</li>
 </ul>
</section>

Medicare Billing Specialist

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Job description</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">A leading healthcare provider in Kentucky is seeking a Medical Director to provide advanced clinical leadership and manage a team of medical directors. The successful candidate will be responsible for ensuring member care quality and appropriateness within a collaborative environment. Candidates should have 8+ years of relevant experience, an active medical license, and board certification. Prefer</p>
</section>

Senior Medical Director, Medicare & Utilization Leadership

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Job Description</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Job Summary Responsible for planning, developing and directing the implementation of techniques to ensure the maintenance of performance and quality levels in the Business' products and processes. Reviews operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve.</p>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Knowledge/Skills/Abilities</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Responsib</p>
</section>

Director, Operational Oversight - Medicare (Remote)

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Job Summary</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products.</p>
</section>

Manager, Medicare Administration

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Position Overview</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Responsible for the development, implementation, and oversight of quality initiatives that impact Medicare Star Ratings within the El Paso Health organization. Strategically monitors, analyzes, and drives improvement in Star Ratings programs to ensure they align with overall strategic organizational goals and performance standards. Provides data and analytical support to advance the Star Ratings initiatives and analyzes provider performance metrics to identify opportunities for improvement.</p>
</section>

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Location</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">University Medical Center of El Paso · EPH Quality Improvement_2</p>
</section>

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Schedule</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Full Time, Days, M-F 8-5</p>
</section>

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Required Qualifications</h2>
 <ul style="padding-left: 20px; margin: 10px 0;">
 <li style="margin: 10px 0; line-height: 1.6;">Knowledge of CMS, TDI, HHSC, NCQA, and URAC rules and standards to assure compliance.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Proficient in analytical assessment and creative problem solving.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Strong project management skills with the ability to meet deadlines while producing quality analyses.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Highly organized and detail-oriented.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Ability to work with complex Excel functions, pivot tables, data modeling, and dashboard creation for healthcare analytics.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Ability to create clear, actionable visualizations that effectively communicate complex healthcare data.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Knowledge of health plan systems and organizational relationships.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Understands and utilizes the fundamentals of continuous quality and process improvement.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Excellent verbal and written communication skills.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Self-starter with the ability to work independently and take initiative.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Ability to maintain awareness of changing healthcare industry trends and applications.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Two years of experience analyzing healthcare data and claims to identify quality improvement activities.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Bachelor degree in Business Administration, Healthcare Administration, Public Health or a related field is required.</li>
 </ul>
</section>

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Preferred Qualifications</h2>
 <ul style="padding-left: 20px; margin: 10px 0;">
 <li style="margin: 10px 0; line-height: 1.6;">Experience carrying out quality improvement initiatives from study and design through implementation.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Experience in an HMO or managed care setting with Medicare and Star Ratings knowledge.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Certified Professional in Healthcare Quality (CPHQ) is preferred.</li>
 </ul>
</section>

Medicare Stars Rating Spec. (El Paso Health)

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Description</h2>
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Introduction</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).</p>
 <p style="line-height: 1.6; margin-bottom: 15px;">Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medicare Specialist today with Parallon.</p>
</section>

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Benefits</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p>
 <ul style="padding-left: 20px; margin: 10px 0;">
 <li style="margin: 10px 0; line-height: 1.6;">Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Free counseling services and resources for emotional, physical and financial wellbeing</li>
 <li style="margin: 10px 0; line-height: 1.6;">401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)</li>
 <li style="margin: 10px 0; line-height: 1.6;">Employee Stock Purchase Plan with 10% off HCA Healthcare stock</li>
 <li style="margin: 10px 0; line-height: 1.6;">Family support through fertility and family building benefits with Progyny and adoption assistance.</li>
 <li style="margin: 10px 0; line-height: 1.6;">Referral services for child, elder and pet care, home and auto repair, event planning and more</li>
 <li style="margin: 10px 0; line-height: 1.6;">Consumer discounts through Abenity and Consumer Discounts</li>
 <li style="margin: 10px 0; line-height: 1.6;">Retirement readiness, rollover assistance services and preferred banking partnerships</li>
 <li style="margin: 10px 0; line-height: 1.6;">Education assistance (tuition, student loan, certification support, dependent scholarships)</li>
 <li style="margin: 10px 0; line-height: 1.6;">Colleague recognition program</li>
 <li style="margin: 10px 0; line-height: 1.6;">Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)</li>
 <li style="margin: 10px 0; line-height: 1.6;">Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li>
 </ul>
 <p style="line-height: 1.6; margin-bottom: 15px;">Learn more about Employee Benefits</p>
 <p style="line-height: 1.6; margin-bottom: 15px;"><strong>Note:</strong> Eligibility for benefits may vary by location.</p>
 <p style="line-height: 1.6; margin-bottom: 15px;">Come join our team as a Medicare Specialist. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!</p>
</section>

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Job Summary and Qualifications</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">As the Medicare Specialist, you are responsible for all aspects of Medicare receivable processing, including but not limited to billing, collection, account and system maintenance, process reconciliation, and productivity reporting.</p>
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">What you will do in this role:</h2>
 <ul style="padding-left: 20px; margin: 10px 0;">
 <li style="margin: 10px 0; line-height: 1.6;">Maintains current knowledge of all office operations, job specific requirements and related regulations</li>
 <li style="margin: 10px 0; line-height: 1.6;">Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes, and payer information</li>
 <li style="margin: 10px 0; line-height: 1.6;">Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer</li>
 <li style="margin: 10px 0; line-height: 1.6;">Contacts and effectively communicates with all parties involved in the resolution of accounts placed</li>
 <li style="margin: 10px 0; line-height: 1.6;">Completes work request timely and in accordance with instruction</li>
 <li style="margin: 10px 0; line-height: 1.6;">Performs all tasks necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold)</li>
 <li style="margin: 10px 0; line-height: 1.6;">Maintains department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership</li>
 <li style="margin: 10px 0; line-height: 1.6;">Provides support for team members that may be absent or backlogged</li>
 <li style="margin: 10px 0; line-height: 1.6;">Analyzes, investigates, and resolves outstanding edits in order to submit clean claims to Medicare</li>
 <li style="margin: 10px 0; line-height: 1.6;">Performs appropriate non-billable adjustments and plines as necessary</li>
 <li style="margin: 10px 0; line-height: 1.6;">Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor’s attention daily</li>
 </ul>
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">What qualifications you will need:</h2>
 <ul style="padding-left: 20px; margin: 10px 0;">
 <li style="margin: 10px 0; line-height: 1.6;">1 year in a productivity/quality-based role or direct office experience preferred</li>
 </ul>
</section>

<section style="margin-bottom: 20px;">
 <p style="line-height: 1.6; margin-bottom: 15px;">Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.</p>
 <p style="line-height: 1.6; margin-bottom: 15px;">HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.</p>
 <p style="line-height: 1.6; margin-bottom: 15px;">&quot;The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr.</p>
 <p style="line-height: 1.6; margin-bottom: 15px;">HCA Healthcare Co-Founder</p>
 <p style="line-height: 1.6; margin-bottom: 15px;">If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medicare Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!</p>
 <p style="line-height: 1.6; margin-bottom: 15px;">We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</p>
</section>

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">FIND YOUR FUTURE</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.</p>
</section>
<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Overview</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">The Individual Sales Representative shall be responsible for sales acquisition and retention strategies for Medicare. The Sales Representative will identify, contact</p>
</section>

Individual Sales Representative - Medicare

<section style="margin-bottom: 20px;">
 <h2 style="color: #34495e; font-size: 1.2em; margin: 20px 0 10px 0;">Job Description</h2>
 <p style="line-height: 1.6; margin-bottom: 15px;">Job Summary</p>
 <p style="line-height: 1.6; margin-bottom: 15px;">Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its produc</p>
</section>

Medicare Jobs

Medicare Marketing Co-op: Content & Campaigns

Sr Medicare Medicaid Biller Collector

Medicare Billing Specialist

Senior Medical Director, Medicare & Utilization Leadership

Director, Operational Oversight - Medicare (Remote)

Manager, Medicare Administration

Medicare Stars Rating Spec. (El Paso Health)

Medicare Billing Specialist

Individual Sales Representative - Medicare

Lead Generalist, Medicare Administration

Medicare Marketing Co-op: Content & Campaigns

Job Description

Job Title

Your Responsibilities

Qualifications

Required Skills