- Novo Nordisk Inc. (Yorktown Heights, NY)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... 401(k) savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal, critical… more
- Commonwealth Care Alliance (Boston, MA)
- …necessary on all new CPT and HCPCS codes for coding logic, related Medicare /Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... operations, health care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical Coding, Compliance,… more
- Centene Corporation (Jefferson City, MO)
- …anywhere in the Continental United States **Position Purpose:** Supports the Medicare Sales Compliance team in the management of regulatory requirements associated ... with the Medicare sales compliance and third-party marketing materials. Consults on...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- Centene Corporation (Jefferson City, MO)
- …including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and...information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction +… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
- TEKsystems (Las Vegas, NV)
- Professional Summary The Insurance Claims Collection Specialist plays a crucial role in reviewing and resolving unpaid or underpaid insurance claims, with a focus on ... Medicare and Medicaid accounts. This fast-paced, production-based role requires...and effective written communication. + Stay informed of healthcare reimbursement policies, regulatory updates, and payer-specific guidelines. + Establish… more
- Stryker (Flower Mound, TX)
- **What You'll Do:** As our ** Reimbursement and Market Access Specialist ,** you'll play a key role in ensuring patient access to our innovative IVS products by ... supporting healthcare providers through the complex reimbursement landscape. You'll be the go-to expert for both... processes.** + 1+ year of experience working with Medicare , Medicare Advantage, Medigap, and commercial payer… more
- BayCare Health System (Largo, FL)
- …and clinical excellence. We are currently seeking a **Infusion Pharmacy Reimbursement Specialist ** who is passionate about providing outstanding customer ... Hours:** 8-5PM + **Weekend Work:** None + **On Call:** No **Infusion Pharmacy Reimbursement Specialist ** , under the immediate oversight of the Pharmacist,… more
- Abbott (Abbott Park, IL)
- …female executives, and scientists. **The Opportunity** We are seeking a **Principal Specialist , Clinical Contracts & Reimbursement ** who for site budget template ... An excellent retirement savings plan with a high employer contribution + Tuition reimbursement , the Freedom 2 Save student debt program, and FreeU education benefit… more
- Bozeman Health (Bozeman, MT)
- …states above to be applicable for this position. Position Summary: The Epic Reimbursement Contract Specialist is responsible for building and maintaining the HB ... + Maintain a schedule of key update dates for expected reimbursement rules, such as Medicare OP quarterly updates, yearly Diagnostic Related Group (DRG) updates,… more
- Fairview Health Services (Minneapolis, MN)
- …Day Shift This position will be responsible for but not limited to Medicare as a payer. This position requires great attention to detail and analytical ... thinking due to the complexity of Medicare /Medicaid regulations. Responsible for day-to-day functions of assigned accounts. Maintain and update billing activity.… more
- Philips (Plymouth, MN)
- As a Reimbursement Escalation Specialist you will analyze, problem solve and reconcile new and aging claims. **Your role:** + Escalating, tracking and reporting ... on reimbursement trends to the Revenue Cycle Management team on...Your skills include: + Knowledge of insurnace payers, including Medicare , Medicaid, Blue Cross Blue Shield and commercial plans.… more
- Ultimate Care Inc (Brooklyn, NY)
- …are likely not to be covered and obtain necessary patient signatures. + Reimbursement Review: Review Medicare reimbursement schedules and fee-for-service ... Brooklyn, NY is looking for a Billing & Collections Specialist to join our team! The Billing & Collections...services. + Medicare Compliance: Stay informed about Medicare billing regulations and changes in reimbursement … more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …people's lives that makes ZOLL the ideal place to build your career.Job SummaryThe Reimbursement Specialist is an integral member of the reimbursement team ... preferred + experience working with all payer types to include Medicare , Medicaid and third-party commercial insurance companies preferred Knowledge, Skills and… more
- ZOLL Medical Corporation (Broomfield, CO)
- …for our customers to achieve the highest levels of care, collaboration, and reimbursement . Job Summary This position is responsible to resolve aged accounts and must ... + Trend Escalation - Meet with leadership to discuss/resolve reimbursement and/or payor obstacles. + Appeals - Determine when...review eligibility response and determine payor sequence. Knowledge of Medicare Part A vs Part B benefits and liability… more
- Cardinal Health (Boston, MA)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
- Ventura County (Ventura, CA)
- …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... in professional medical billing, including billing in Medi-Cal, Commercial Insurance, Medicare and/or chemotherapy and using medical reimbursement programs.… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Acts as a subject ... matter expert and collaborates with various internal departments to ensure that Medicare Advantage (MA) clinical programs and regulatory reporting are compliant with… more
- NHS Management, LLC (Birmingham, AL)
- …experience along the way. We are in search of a qualified Finanical Specialist Assistant: To perform the successful and timely completion of assigned business and ... + Performs assigned billing functions as directed by Financial Specialist or Administrator in the completion of all routine...related tasks, including but not limited to: + Medicaid, Medicare and/or secondary billing + Assist with evaluation and… more
