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Yuma Regional Medical Center Logo
Yuma Regional Medical Center

Yuma, Arizona

Southern California Permanente Medical Group Logo
Southern California Permanente Medical Group

Harbor City, California

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Medicare Claims Manager - Community Health Choice
JOB SUMMARY :The Medicare Claims Manager is responsible for claims appeals, claims adjustments, preparation and submission of regulatory deliverables, staff training, professional development of staff, product implementation, writing policies and procedures. This position also includes assisting with development of departmental reference guidelines and staff training program. This position requires strong communication skills, leadership skills and proven management ability.The Medicare Claims Manager is responsible for management oversight of Medicare Claims (DSNP, Medicare Advantage and Part C provider Appeals) and to ensure compliance of regulatory requirements. Responsible for managing comp

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