- Dexian - DISYS (Golden Valley, MN)
- …to effectively assist in fulfilling the request.MAIN DUTIES/RESPONSIBILITIESProvide direct, expert support as a Patient Services Specialist for patient, ... and quality systems.Maintain knowledge of HIPAA and privacy laws, Medicare policies and insurance guidelines. Be aware Inspire past,...experience in a call center, customer service in a medical field, or technical support roleProficient with… more
- BELFOR Property Restoration (Birmingham, MI)
- …wide range of benefit options including, but not limited to, 401(k), Medical , Dental, Vision, Disability, Life Insurance, Employee Assistance Program, Paid Holidays ... Paid Time Off. The Leave of Absence & Benefits Specialist is a member of the employee benefits group...Prepare and distribute communications to employees regarding benefits and support benefit questions and concerns Assist with wellness program… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …related to quality metrics and value-based contracts, care gaps, Quality Improvement, Medicare Stars, HEDIS measures and patient medical needs.Ability to develop ... health of our communities. About the Role:Job SummaryThe Population Health Specialist contributes to the multi-disciplinary population health team approach by… more
- ProKatchers (Bowling Green, NY)
- …to the support and training of physicians on proper coding and medical record documentation practices to support improvement in quality metrics. As a ... the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS,...charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star measures and quality improvement activities. This… more
- Accounting Now (Pinellas Park, FL)
- … Medical Collectors in St Petersburg, Florida: Medical Collector The medical billing and collection specialist is responsible for ensuring accurate ... Medicare , Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking… more
- Atrium Health (Charlotte, NC)
- …knowledge and understanding of severity based DRG systems; All-Patient Refined and Medicare Severity (APR-DRG), Medical Severity Diagnostic Related Group System ... quality and completeness of clinical documentation within the patient electronic medical record using a multidisciplinary team process. Exhibits expertise associated… more
- US Tech Solutions, Inc. (Cumberland, RI)
- …. Microsoft Word, Excel, PowerPoint, Outlook and good typing skills . Customer support experience needed with medical experience Education: . High School diploma ... Monday - Friday 8:30 - 5 Job Description: Billing Specialist I will be responsible for qualifying, preparing and...or GED Experience: Knowledge of Medicare , Medicaid, and 3rd party vendors is a plus.… more
- Houston Methodist (Katy, TX)
- Medicare compliance experience is preferred** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ... (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with Houston Methodist's Corporate Central… more
- Universal Health Services (Las Vegas, NV)
- …Opportunities within UHS and its Subsidiaries + Competitive Compensation + Excellent Medical , Dental, Vision and Prescription Drug Plan + 401k plan with company ... teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, age, sex (including pregnancy,… more
- CVS Health (Richmond, VA)
- …to providers, pharmacies, and members on quality, STARs, or FWA indicators for Medicare programs + Provide clinical pharmacy support to programs targeted toward ... staff working in the Therapeutic Duplication and Formulary Alternative Outreach Program for Medicare Part D Medications + Helping to support new or pilot… more
- The Cigna Group (Bloomfield, CT)
- …and continuity of care management. + Identify customer needs, coordinate and support planned and unplanned transitions, conduct post discharge follow up contact, ... which may include primary care physician and specialist appointment scheduling. + Provide clinical assessments, health education, and utilization management to… more
- Medical Mutual of Ohio (Dublin, OH)
- …This position will be hybrid (in-office & work from home)._** **_The Provider Contract Support Specialist position allows you the flexibility to work at home as ... and maintains contract management files and documentation **Responsibilities** **Provider Contract Support Specialist ** . Follows up and tracks agreements and… more
- Medical Mutual of Ohio (OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s status as a ... **_The Proposal Specialist position allows you the flexibility to work...as you reside within a 50-mile radius an Ohio Medical Mutual office._** Founded in 1934, Medical … more
- Ventura County (Ventura, CA)
- Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4487403) Apply Medical Billing Specialist I/II ... series on the basis of level, scope and complexity of professional billing duties assigned. Medical Billing Specialist I ($19.98 - $25.34 per hour): is the entry… more
- The Wesley Community (Saratoga Springs, NY)
- Medical Billing Specialist Full Time |...+ Prepare and produce all Wesley primary billing for Medicare , HMO, VA, MLTC as well as secondary Medicaid ... in the heart. What will I do as a Medical Billing Specialist for The Wesley Community?...claims monthly. + Prepare/submit Wesley Medicare no pay claims to Medicare on… more
- Medical Mutual of Ohio (Dublin, OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s status as a ... Founded in 1934, Medical Mutual is the oldest and one of...best possible health and quality of life. IT Security Specialist III Performs the more complex day to day… more
- State of Georgia (Baldwin, GA)
- …report to the Billing Manager in the Administration Department. Summary of Duties The Medical Credentialing Specialist will support the billing team with ... Medical Credentialing Specialist Georgia - Baldwin - Milledgeville (https://careers.georgia.gov/jobs/52910/other-jobs-matching/location-only) Hot… more
- Robert Half Accountemps (New Orleans, LA)
- Description Robert Half has partnered with a client seeking a Medical Biller/Collections Specialist in the non-profit industry. The role we are seeking is that ... of a Medical Biller/Collections Specialist , who will be an...as the posting of charges * Conduct Medicaid and Medicare claims and billing, along with hospital billing and… more
- Medical Mutual of Ohio (OH)
- …quarterly on-site requirement in Brooklyn, OH_** **Responsibilities** **Business Systems Specialist I** Works with management, external vendors, and Information ... more junior staff. . Performs other duties as assigned. **Business Systems Specialist II** Works with management, external vendors, and Information Systems to… more
- New York State Civil Service (Thiells, NY)
- …American Board of Medical Specialties (ABMS) in your specialty. OR* Medicaid and Medicare certified. OR* Current Medical Specialist 2. OR* Eligible for ... NY HELP No Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary… more
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