- Guidehouse (San Antonio, TX)
- …three days from home. Essential Job Functions Account Review Appeals & Denials Medicare / Medicaid Insurance Follow-up Customer Service Billing UB-04 & CMS 1500 ... Complete all business-related requests and correspondence from patients and insurance companies. Responsible for working on 40-70 Accounts Per Day Complete all assigned projects in a timely manner. Assist client and patients in all requested tasks. Communicate… more
- Avamere Health Services (Seattle, WA)
- …knowledge of skilled nursing insurance billing including but not limited to Medicare , Medicaid , private insurance, HMOs, and co-insurances. Stays current with ... maintained. 2 years medical billing experience required, SNF preferred, including Medicare , Medicaid , Must have, as a minimum, three (3) years' experience in… more
- Lundbeck (Waco, TX)
- …dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid , Commercial) using Lundbeck resources. Pharmaceutical ... Environment/Compliance - Apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED… more
- Lundbeck (Fort Wayne, IN)
- …key internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid , Commercial) using Lundbeck resources. Local Market & ... Therapeutic Area Expertise - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Demonstrates a clear and detailed understanding of the… more
- Lundbeck (Joliet, IL)
- …dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid , Commercial) using Lundbeck resources. Pharmaceutical ... Environment/Compliance - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products.… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …of all channels of managed care environment in the US (commercial, Medicare , Medicaid , etc.); preferredSufficient understanding of financial matters to challenge ... and pressure-test assumptions (eg pricing, GTN, etc.). preferred Trave lAbility: to travel up to 10% | Some limited travel for meetings and/or conferences.Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will… more
- Novo Nordisk Inc. (WA)
- …to: Tax, Trade, Intellectual Property, Supply Chain, Private Health Insurance, Medicare , Medicaid , Reference Pricing, Pricing / Price Increases, Reimbursement, ... Privacy, Labor / Employment Develop NNI's policy positions, in line with Enterprise Strategy Clearly communicate with federal agencies on NNI's positions Educate and enable broader Market Access and Public Affairs Teams, Corporate Tax team, and other NNI… more
- Novo Nordisk Inc. (Traverse City, MI)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription ... Coverage Requirements, Step Therapy, Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses… more
- TEKsystems (Brookfield, WI)
- …related to: Coverage and benefits Claims and billing Authorizations and prior approvals Medicare , Medicaid , and Marketplace plans You'll handle calls and emails ... 2+ years of healthcare customer service or call center experience Experience with Medicare , Medicaid , or insurance verification Ability to multitask in a… more
- The Judge Group Inc. (Bridgeport, PA)
- …GME Reimbursement experience. Responsibilities Reimbursement - Acute to manage the Medicare and Medicaid fee-for-service reimbursement functions for multiple ... with applicable federal and state reimbursement rules and regulations and optimizes Medicare and Medicaid reimbursement through development of strategic planning… more
- Treasure State Orthotic & Prosthetic Clinic, Inc. (Billings, MT)
- …verification and preauthorization will be daily tasks. A sound foundation in Medicare / Medicaid patient benefit eligibility and coverage a must. Private health ... insurance billing experience would be beneficial. Compensation will depend on experience. Benefits include paid holidays, PTO, 401k plan and profit sharing upon meeting company requirements. Please send cover letter and resume to ###@tsopmt.com recblid… more
- CVS Health (Baltimore, MD)
- …Qualifications - 2 years leading member/customer service team. - Experience in a Medicaid and/or Medicare setting. - Bachelor's Degree or equivalent work ... experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $43,888.00 - $93,574.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which… more
- Staffing Solutions Organization LLC (Albany, NY)
- …supervisory experience; professional experience in public health insurance programs, including Medicaid , Medicare and/or Child Health Plus. Preferred candidates ... diverse workforce, which is a reflection of our clients and the people they serve. Medicaid Program Advisor (Level 2 or 3) - Albany, NY Division of Eligibility &… more
- Molina Healthcare (Las Vegas, NV)
- …Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare - Medicaid recipients within ... QUALIFICATIONS Required Education High School diploma/GED Required Experience 2+ years Medicare , Medicaid , managed care or other health/insurance related sales… more
- Accident Fund Holdings, Inc. (Lansing, MI)
- …assignment MEDICARE SPECIFIC TASKS: Manage MSAs through the Center for Medicare & Medicaid Services (CMS) submission and approval process, including ... as directed by attorney. Perform special assignments as requested by the Medicare attorneys. Retrieve and analyze information from CMS, vendors, and Workers'… more
- CGI (Fairfax, VA)
- …to help lead the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The ... integrations and NGD CRM development work. The Centers for Medicare & Medicaid Services (CMS) provides healthcare services to approximately 79 million… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- …(DMHC), Medicare Complaint Tracking Module (CTM) from the Centers for Medicare Medicaid Services (CMS), the Medicare Quality Improvement Organization ... have one year of relevant experience in dealing with grievance guidelines or Medi-Cal/ Medicaid or Medicare programs Job Type: Contract Duration: 6 months… more
- Vail Health Technician Healthsource (Avon, CO)
- …Payer Questionnaire for Medicare beneficiaries in accordance with Centers for Medicare & Medicaid Services (CMS) standards Role Models the Principals of ... and other related tasks or requirements by payors, including Medicare , using a variety of computer-based systems. If in...feedback for departmental staff meetings. Follow the Center for Medicare & Medicare Services (CMS) requirements for… more
- Conifer Health Solutions (Silverdale, WA)
- …& procedures. Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & ... Directives, Conditions of services, Consent for treatment, Important Message from Medicare , EMTALA, etc.). Scan Protected Health Information, create and file patient… more
- MetroPlusHealth (New York, NY)
- …comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, ... and procedures (eg, claims processing P&P's, grievance procedures, state mandates, CMS/ Medicare / Medicaid guidelines, benefit plans, etc.) Research claims that… more
