- Cambia Health Solutions, Inc (Portland, OR)
- …( Medicare and ACA) as well as a coding certification is preferred.General Functions and OutcomesOverall responsibilities include specific and/or portions ... or equivalent related experience, with experience in a health care or Medicare -regulated environment preferred.Compliance Specialist III would have at least a… more
- Accounting Now (Sarasota, FL)
- The Reimbursement Specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all ... receivable and patient service revenue records and reports.The Reimbursement Specialist :* Compiles, reviews, and processes billing and accounts receivable documents,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …health of our communities. About the Role:Job SummaryThe Population Health Specialist contributes to the multi-disciplinary population health team approach by ... to support performance in our value-based contracts. The Population Health Specialist works cross-functionally with others internally and externally to support data… more
- University of New Mexico (Edgewood, NM)
- …and complete the application process for State/Government programs; maintain MOSAA certification with the State; interview and approve patients for UNM Hospital ... eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare , PHS/Indian Health Service, Salud, Self Pay)* REFERRALS - Maintain a… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …the health of our communities. About the Role:Job SummaryThe Research Regulatory Specialist performs a wide range of tasks essential to the submission, approval, ... Licensure or other certifications:Preferred Educational Requirements: Preferred Experience: Specialized training/ certification in Regulatory Affairs or Clinical Research.Other: Job Specific… more
- Option Care Health (Bannockburn, IL)
- …Business-related field.At least 2 years of experience applying knowledge of Medicare , Medicaid, and Managed Care reimbursement guidelines. Certification in ... Compliance as recognized by the Society of Corporate Compliance and Ethics and /or Health Care Compliance Association or other professional organization.Preference for at least 2 years of direct experience in home infusion services compliance program. This job… more
- Compass Health Network (Union, MO)
- …staff, Nurse Care Managers, and administratively supervises the Behavioral Health Specialist . ESSENTIAL FUNCTIONS - JOB SPECIFIC Administration and management of ... cycles for process ImprovementKeep informed of, and communicate, any changes to Medicare , Medicaid, and any Private Insurance Carriers regarding covered services and… more
- Health First (Melbourne, FL)
- …**Job:** **Health Insurance Sales* **Organization:** **HF Administrative Plan Inc* **Title:** * Medicare Sales Specialist - Medicare Sales* **Location:** ... POSITIONSUMMARY Providesupportservicescriticaltotheeffectiveoperationsoftheinternal Medicare Sales Department and externalbroker partner channel within all Health… more
- CVS Health (Richmond, VA)
- …help to support various Scorable Action Items (SAI) programs in the Medicare population, including Fraud, Waste, and Abuse (FWA), Formulary Education, Therapeutic ... for: + Performing pharmacy reviews and making evidence-based recommendations regarding Medicare members + Identifying opportunities within the health plan for… more
- ManpowerGroup (Celina, OH)
- Manpower's client in Celina, Ohio is seeking a part time or full time Medicare and Social Security support specialist to join their team. **Job Title: ... Medicare /Social Security Support Specialist ** **Location: Celina, Ohio** **Pay Range: $15 per hour**...goals + No cost college courses and work skill certification courses If this is a role that interests… more
- Louisiana Department of State Civil Service (LA)
- Medical Certification Specialist 1 - 2 Print...Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4510056) Apply Medical Certification Specialist 1 - 2 Salary $5,119.00 - $9,211.00 Monthly… more
- The Cigna Group (Bloomfield, CT)
- …and demonstrates evidence of continuing education to maintain clinical expertise and certification as appropriate. + Performs other related duties incidental to the ... between systems + Bilingual candidate + Certified Diabetes Care and Education Specialist (CDCES) + Master's Degree + Diverse Clinical experience preferred If you… more
- Synergy Healthcare Solutions (Dunwoody, GA)
- …| Salary | Synergy Healthcare Services - Atlanta | Full Time **Licensing & Certification Specialist ** **Health Care Billing** **This role is onsite in our ... Medicare and Medicaid enrollment, and local business licensing/permitting. As Licensing & Certification Specialist the primary purpose of your position is to… more
- Louisiana Department of State Civil Service (Marrero, LA)
- …Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level of independence exercised ... Medical Certification Specialist (1-2) (Waiver Unit Staff) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4498432) Apply Medical … more
- St. Luke's University Health Network (Bethlehem, PA)
- …serve, regardless of a patient's ability to pay for health care. The Pre- Certification Specialist is responsible for contacting health insurance companies prior ... to verify coverage either online or by telephone. The precertification specialist is also responsible for relaying precertification information to performing… more
- Charter Care Health Partners (Providence, RI)
- …all authorizations and pre-certs as required by the individual insurance company. The specialist will be familiar with and understand Medicare , Medicaid, other ... government payers, Commercial and HMO/PPO Payers guidelines and principals. Education: High school graduate or GED required. Associate's level degree preferred. Experience: Prior experience working in a related role in a medical office or other health care… more
- PruittHealth (Macon, GA)
- …MACON or ATHENS** **JOB PURPOSE:** The purpose of the Outreach and Enrollment Specialist role for PruittHealth Premier to serve as a licensed insurance agent to ... office space/work location is provided. The Outreach and Enrollment Specialist conducts the majority of their work within local...6. Ability to learn and carry out Centers for Medicare & Medicaid Services rules and regulations. 7. Meet… more
- Medical Mutual of Ohio (Dublin, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... best possible health and quality of life. IT Security Specialist III Performs the more complex day to day...with audits and auditors to support and maintain corporate certification initiatives. + Performs other duties as assigned. IT… more
- AdventHealth (Tavares, FL)
- …WAY, Tavares, 32778** **The role you'll contribute:** The Social Work Specialist intervenes with patients who have complex psychosocial needs, require assistance ... staff nurses, and other members of the care team). The Social Work Specialist , in collaboration with the patient/family, care manager nurses, nurses, physicians and… more
- AdventHealth (Durand, WI)
- **Consumer Access Specialist - AdventHealth Durand** **All the benefits and perks you need for you and your family:** + Mission driven organization + Kind and caring ... patients** Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS)** **standards and communicates relevant coverage/eligibility… more
