- Novo Nordisk Inc. (Denver, CO)
- …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
- System One (San Antonio, TX)
- Medicare Billing Specialist Remote Contract: 6 months Compensation: $22 hourly Contractor Work Model: Remote Hours: Full time, Monday- Friday 8 am - 4:30 pm MST ... lunch) System One is seeking a detail-oriented and proactive Medicare Patient Accounts Specialist to join our...claims + Stay current on communication relating to healthcare reimbursement and regulatory changes + Develop and maintain positive… 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 (Cheyenne, WY)
- …anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of regulatory requirements ... associated with the Medicare materials and sales compliance. Participates in the ongoing...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
- 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
- Banner Health (AZ)
- …Phoenix. Join a fast growing post-acute services agency in AZ! As a ** Reimbursement Specialist ,** you will be responsible for obtaining and maintaining all ... by government agencies and other insurance companies for appropriate reimbursement of home medical equipment. You will be able...policy, procedure, and work related material such as ADR ( Medicare - Additional Documentation Request). 3. Acts as an… 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
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