- Insight Global (Pleasanton, CA)
- Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for ... the accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with Medicare … more
- CVS Health (FL)
- …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local...specialized team who will focus on educating existing Medicare members on available plan offerings to help meet… more
- Ochsner Health (New Orleans, LA)
- …Participates in audits, projects, and regulatory consultations for the company . Performs compliance related research, conducts and documents interviews, completes ... conclusions to department and organization management. Serves as resource to company employees and management in applying and improving compliance policies,… 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 ... as necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance process.… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is eligible for… more
- AccentCare, Inc. (TX)
- Overview Provider Credentialing Specialist Location: Dallas, TX Position: Credentialing Specialist Position Type: Full-Time Remote/Virtual Position: Yes Find ... Your Passion and Purpose as a Provider Credentialing Specialist Salary: $23.00/hr to $26.00/hr DOE What You Need to Know Reimagining Your Career in Corporate… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for...as the need arises. + Educates CSHS employees on company policies and procedures regarding access to care, the… more
- Robert Half Accountemps (Duarte, CA)
- Description We are looking for an experienced Medical Biller/Collections Specialist to join our team in Duarte, California. The Medical Biller/Collections ... Specialist will play a vital role in managing the...claims are processed accurately and efficiently while adhering to Medicare , Medi-Cal, and other insurance guidelines. This is an… more
- CommonSpirit Health Mountain Region (Pueblo, CO)
- …a greater cause is something we value even more. The Eligibility Specialist is responsible for conducting eligibility screenings, assessment of client financial ... public medical benefits including insurance benefits and co-payments. The Eligibility Specialist serves as a liaison between the client, physician, community agency,… more
- Sumitomo Pharma (Chicago, IL)
- Sumitomo Pharma Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma ... dynamic, highly motivated individual for the position of **Multi-Specialty Portfolio Specialist /Associate Portfolio Specialist .** This position is being posted… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing...and Compensation: + Employee bonus program. + 401(k) with company match up to 4% and an additional … more
- Prime Healthcare (Ontario, CA)
- …reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the complexity of a ... cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section of the report is linked to another and be able to evaluate… more
- Aveanna Healthcare (Beaumont, TX)
- …- $17.00 per hour Position Details Position: Operations Specialist (Medical Records Specialist ) Join a Company That Puts People First! Aveanna Healthcare is ... Healthcare Administrative Specialist ApplyRefer a FriendBack Job Details Requisition #:...Wellbeing Top 100 Companies of 2024 + Named Best Company for Work-Life Balance, Happiest Employees, Best Culture, and… more
- TEKsystems (Raleigh, NC)
- …call quality. Heavy call volume expected from February to March. The Program Specialist is responsible for serving as the customer's primary point of contact ... reimbursement support to complex programs within Neovance. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or… more
- Sanford Health (Fargo, ND)
- …trouble shooting for pharmacists - Recording pharmacy payments in Inmar, (our reconciliation company ) - Monitoring Medicare claims to ensure payment has been ... $16.00 - $25.50 **Job Summary** The Pharmacy Business Office Specialist , supports retail pharmacy operations. The position is Monday-Friday...- Running end of month reports for Finance - Medicare and third party audits - Patient refunds and… more
- Medical Mutual of Ohio (Oklahoma City, OK)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Job Summary:** ... and Compensation: + Employee bonus program. + 401(k) with company match up to 4% and an additional ...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- TEKsystems (St. Louis, MO)
- …Credentialing Specialist to support short-term, high-priority projects focused on Medicare applications. This role plays a critical part in ensuring timely and ... Temporary Credentialing Specialist Overview: We are seeking a meticulous and...PECOS, including both individual and group submissions. + Execute Medicare credentialing tasks in alignment with federal regulations and… more
- Access: Supports For Living (Middletown, NY)
- … Specialist is a key position in the financial management of the company . The Senior Billing Specialist supports all billing and revenue management throughout ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Oct...portals. + Maintain a working knowledge of OMH, OASAS, Medicare , Medicaid, Medicaid Managed Care and other payers' billing… more
- Robert Half Office Team (Richmond, VA)
- Description We are looking for a dedicated Credentialing Specialist to support healthcare operations in Richmond, Virginia. This long-term contract position offers ... and re-credentialing applications for healthcare providers, ensuring compliance with Medicare , Medicare Advantage, and managed care organization standards.… more
- Prime Therapeutics (Lansing, MI)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more