- HCA Healthcare (Nashville, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Medicare Specialist for our team to ensure that we continue to ... meaningful as we do. We want you to apply! **Job Summary and Qualifications** The Medicare Specialist will be responsible for all aspects of Medicare … more
- PruittHealth (Norcross, GA)
- …possible updates and/or changes needed prior to filing the annual Medicare Part A cost report. **Licensure/ Certification /Education Requirements:** High School ... and verification of required third party documentation for all Medicare bad debt claims on an annual cost reporting...on an annual cost reporting basis. Calculation of allowable Medicare bad debt claims based on third party documentation… 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...to have the one or all of the required certification OR willing to get certified within 1 year… 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 ... highly organized, detail-oriented individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification ,… 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
- Louisiana Department of State Civil Service (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 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4818520) Apply Medical Certification … more
- New York State Civil Service (Schenectady, NY)
- …Assist Central Operations in ensuring all clinicians are enrolled in Medicaid and Medicare and meet all licensing and certification requirements. - Work with ... Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 / Trainee - Upstate Occupational Category Other Professional Careers… more
- New York State Civil Service (NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... Code 00000 Duties Description Primary Duties and ResponsibilitiesAs a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. The ideal candidate… more
- New York State Civil Service (Queens Village, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade 35 ... Code 11428 Duties Description Primary Duties and Responsibilities:As a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- University of Colorado (Aurora, CO)
- …as Medicaid or Medicare , or other resources available to patients. + Possess certification as a Colorado Peer and Family Specialist (CPFS), or another Peer ... the training already. + The employee must obtain the Colorado Peer and Family Specialist (CPFS) certification within 6 months of hire date ( certification … more
- New York State Civil Service (Staten Island, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 (Geneticist) - IBR EOA # 2025-26 Occupational Category Health Care, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...employment.Loss of your license or limited permit or board certification in New York State or failure to maintain… more
- Trinity Health (Clifton Park, NY)
- …**Description:** Our Nursing team at Schuyler Ridge is seeking a full-time MDS Specialist for our 120-bed Skilled Nursing facility in Clifton Park, NY! At Schuyler ... our caring, compassionate health care team the RN MDS Specialist /Coordinator will enjoy: + Tuition assistance + Hourly position...but not limited to: + Oversee all aspects of Medicare requirements and MFD coordination + Responsible for ensuring… more
- Trinity Health (Livonia, MI)
- …Health & Human Services (DHHS) - Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Department of Justice (DOJ) as well as input ... clinical documentation & coding reviews. Must possess working knowledge of Medicare & third-party payer regulations and demonstrated knowledge & understanding of… more
- HCA Healthcare (San Antonio, TX)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- City and County of San Francisco (San Francisco, CA)
- …required documentation for credentialing + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR ... health and substance use treatment services. Duties Include + Experienced Specialist Representative/Consultant of the specialty program or service including, but not… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Builds and sustains ... 5 years of progressive experience as a Clinical Vendor Partnerships Specialist or equivalent proven experience in vendor/relationship management, procurement, or… more
- Hartford HealthCare (Farmington, CT)
- …common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education ... and healthcare revenue cycle industry practices. The audit and education specialist will support documentation practices that comply with CMS risk adjustment… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …or related field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification (s)** + Certified Purchasing Manager ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to the… more
- Alameda Health System (Alameda, CA)
- …billing. Starts and controls PASS and PASSARR forms. Prepares UB 40's. Controls Medicare certification and recertification. Produces Medicare Credit Balance ... AHD Business Office/Accounting Specialist + Alameda, CA + Park Bridge +...in a business office and/or accounting capacity. Minimum Experience:Recent Medicare and Medical insurance billing. Alameda Health System is… more
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