- Ensemble Health Partners, Inc. (Fairborn, OH)
- …Center in Fairborn, OH We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients ... and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms,… more
- The Wright Center Medical Group (Scranton, PA)
- Job Type Full-time Description POSITION SUMMARY The Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing ... Specialist , a key position in the Revenue Cycle, facilitates...members regarding claim appeals, denials, resolution, and education Understand Medicare , Medicaid and other commercial payer rules and regulations… more
- AdaptHealth LLC (Des Moines, IA)
- …experience. Exact job experience is considered any of the above tasks in a Medicare certified . AdaptHealth is an equal opportunity employer and does not ... click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire… more
- AdaptHealth LLC (High Point, NC)
- …required. Exact job experience is considered any of the above tasks in a Medicare certified HME, IV or HH environment that routinely bills insurance. AdaptHealth ... click to apply, we would love to hear from you. Intake Specialist The Intake Specialist has a broad range of responsibilities including accurate and timely data… more
- Jewish Family Services, Inc (Milwaukee, WI)
- Job Type Full-time Description The Medical Billing Specialist will act as the contact between third party billing company, BillCare, and Jewish Family Services (JFS) ... revenue issues observed Clinical Credentialing Support Serve as primary credentialing specialist and seeking back-up support, as needed. Assist in maintaining a… more
- State of Florida (Clearwater, FL)
- …Agency for Health Care Administration Working Title: 68064198 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68064198 Salary: $1,915.08 - ... of Florida. These surveys ensure that all state licensed, and federally certified health care facilities meet the established state and/or federal requirements and… more
- Homeward (Chicago, IL)
- …that have historically limited access and quality. Homeward supports Medicare -eligible beneficiaries by partnering with health plans, providers, and communities ... across rural counties. As a public benefit corporation and Certified B Corp (TM) , Homeward's mission and business...Health's creative team is seeking a talented Senior Content Specialist and copywriter to truly own and lead our… more
- Augusta Health (Fishersville, VA)
- …history, education and other qualifications for future consideration. The Pre-Visit Specialist I : provides scheduling, pre-registration and other pre-visit revenue ... and billing information, verifying insurance coverage and benefits, reviewing Medicare medical necessity, providing out-of-pocket payment estimates and collecting… more
- Optum (San Juan, PR)
- … Outpatient Auditor (COC) Certified Professional Medical Auditor (CPMA) Certified Coding Specialist (CCS) Experience in a hospital/inpatient setting, ... (RN), Coding Certificate or Nursing Licensure, for example: Puerto Rico Registered Nurse Certified Professional Coder (CPC) + CPC A Certified Inpatient Coder… more
- Essen Medical Associates (Bronx, NY)
- …to effectively work with internal teams, external stakeholders, and leadership Preferred: Certified Provider Credentialing Specialist ( CPCS ) or Certified ... and re-credentialing applications. Manage end-to-end payor enrollment processes, including Medicare , Medicaid, commercial plans, Civil Surgeon designation, Workers' Compensation,… more
- UC Health (Cincinnati, OH)
- …Cincinnati's only Level I adult trauma center, which includes the right mix of specialist and medical resources available at a moment's notice for a wide variety of ... registration and order entry into Horizon ordering tests per established protocols. For Medicare patients, performs ABN check; if needed, presents that ABN to the… more
- COMMUNITY HEALTH GROUP (Chula Vista, CA)
- …(DHCS), the National Committee for Quality Assurance (NCQA), the Centers for Medicare and Medicaid (CMS), and based on evidence-based standards of practice. ... Quality Nurses, the Grievances and Appeals Supervisor, and the Corporate Quality Specialist in the performance of their role and position description. Oversees and… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance...all of the required certification OR willing to get certified within 1 year of employment - + … more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified … more
- BlueCross BlueShield of North Carolina (NC)
- …school diploma or GED + 3+ years of experience in related field + Certified Professional Coder **Bonus Points** + Medicare coding and auditing experience **What ... patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** +...coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses all resources… more
- Commonwealth Care Alliance (Boston, MA)
- …accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, and provider… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across ... preferred. 3-5 years of direct experience in a Primary Care setting preferred. Certified Nurse Specialist (CNS) preferred. Work Days: Monday - Friday 8:00… more
- State of Colorado (Grand Junction, CO)
- Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) - Grand Junction Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4889241) Apply Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) -… more
- State of Georgia (Rockdale County, GA)
- Certified Peer Specialist -Youth (GLS) Rockdale/Newton Georgia - Rockdale (https://ga.referrals.selectminds.com/jobs/69841/other-jobs-matching/location-only) Hot ... rates, lower dropout rates, decreased ER visits and decreased inpatient admissions. The Certified Peer Specialist ~ Youth will work as an integral team… more
- WellSpan Health (York, PA)
- …Preferred and + Professional office work experience. Preferred **Licenses:** + Certified Peer Specialist Upon Hire Required **Driver's License Statement:** ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
