PACE Health Plan/ Medicare Specialist Job at Empath Health
Position Description
PACE, a member of Empath Health is currently seeking a PACE Health Plan/ Medicare Specialist to join our team.
Under the direct supervision of the Operations Manager, the PACE Health Plan/Medicare Specialist supports the PACE Health Plan through multiple tasks to ensure continued compliance with Federal and State regulations related to Medicare Part D, Contracting, and Provider Relations. Ensures a robust contracted Provider Network. Handles a variety of duties to ensure accurate record keeping for Audit readiness. This position requires knowledge of Contracting practices, Medicare Part D Guidelines, and Managed Care Programs.
Position Requirements
• Bachelor’s degree in accounting, finance, or related field is preferred. High school diploma is a minimum requirement.
- 2 years previous experience with Medicare Part D or Managed Care preferred.
- Knowledge of Medicare Guidelines and Regulations
- Good communication and writing skills are essential. Customer service experience is desirable.
- Data entry and computer skills are essential. Knowledge of Medicare, Medicaid and insurance billing is preferred.
- Computer skills should include EMR, Medicare and State systems, Microsoft Suite
- Critical listening and systematic thinking skills.
- Ability to maintain confidentiality and act in the company’s best interest.
Suncoast Hospice, Empath Home Health, and Empath Health Pharmacy are proud to be accredited by the Joint Commission showing our commitment to quality.
Empath Health values diversity as it strengthens our community and care. We embrace the diversity of cultures, thoughts, beliefs and traditions of our employees, volunteers and people we are honored to serve across our network. Our diverse staff reflects our community and each day, we work to be respectful, sensitive and competent with each other and those in our care. In every journey, we are dedicated to achieving comfort, dignity and exceptional care. Those of all backgrounds are welcome and encouraged to apply with us or seek our care and services.
Our commitment to patient, client, staff and volunteer safety is a cornerstone of a High Reliability Organization with a focus on zero harm. Participation in the seasonal influenza and COVID-19 program is a condition of employment and a requirement for all Empath Health employees.
Providing compassionate, full life care is an honor we take seriously at Empath Health. Join our team and make a positive impact in the community!
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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