- Novo Nordisk Inc. (Tyler, TX)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Novo Nordisk Way selling model with external customers and during company sponsored meetings: Strategic Planning- Pre-Call Planning Creates Customer Engagement-Open… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Medicare Exhaust Specialist ** **ON-SITE** **Starting Hourly Rate $20 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our ... performed after Medicare benefits are exhausted. + Once patient determined to be Medicare Exhaust, specialist files Medicare part A and part B claims… more
- TEKsystems (Chesapeake, VA)
- Medicare Patient Account Specialist You'll enjoy Full Time Day Shift Hours - Monday-Friday 8:00am-4:30pm for 2-4 weeks of training (after training can establish ... the area A day in the role . Submit Medicare / Medicare Advantage plan claims both electronic and...power of true partnership. TEKsystems is an Allegis Group company . The company is an equal opportunity… more
- Wider Circle (Los Angeles, CA)
- …over the phone, then come join us in our movement to support the Medicare population. Company Overview At Wider Circle, we connect neighbors for better ... boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help...Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to connect with… 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
- BlueCross BlueShield of North Carolina (NC)
- …complex coding patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** + Analyzes necessary documentation, ... appropriateness of provider coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses all resources to ensure compliance and… more
- Adecco US, Inc. (Monroeville, PA)
- …Experience and Skills:** + 1 year **of medical billing experience** ( Medicare experience preferred). + Strong computer skills, including proficiency in **Microsoft ... will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy The Company will consider qualified applicants with arrest and conviction… more
- Humana (Miami, FL)
- …our caring community and help us put health first** The Telephonic Call Center Specialist / Care Coach 1 assesses and evaluates member's needs and requirements to ... and wellbeing of members. Miami, FL Telephonic Call Center Specialist / Care Coach 1 + Inbound and Outbound...needs and hours could include weekends/holidays. + During the Medicare Annual Election Period, September to December, must be… more
- Heritage Ministries (Conneautville, PA)
- Job Description The Facility Financial Specialist is responsible for welcoming and directing new residents and their families on the day of admission. He/she is ... face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage...if needed. For private pay situations, will collect the company fee for this service. Will keep a standardized… 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 ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and… more
- NTT DATA North America (Pittsburgh, PA)
- …accurate and timely customer support to ensure successful member enrollment for Medicare services. The Enrollment Support Specialist will work closely with ... of our employees have been key factors in our company 's growth and market presence. By hiring the best...strategy. NTT DATA Services currently seeks a **Associate Eligibility Specialist ** to join our team in **Pittsburgh, PA** .… 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 ... to clinical businesses and vendors, tailoring solutions to align with company objectives. **Responsibilities** . Creates and maintains relationships with clinical… 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
- Sumitomo Pharma (Houston, TX)
- 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
- 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
- BeneLynk (San Antonio, TX)
- …to Medicare Advantage beneficiaries enrolled in a BeneLynk contracted Medicare Advantage plan. The Member Engagement Specialist makes outbound telephone ... 2, 2025 Does the idea of applying your talents at a social care company that assists people address Social Determinant of Health (SDoH) barriers and compensates well… more
- Aveanna Healthcare (Dallas, TX)
- …- $15.00 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
- 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
- Prime Therapeutics (Springfield, IL)
- …decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** The Senior Medication Therapy Management (MTM) ... Service Specialist will act as a Subject Matter Expert for...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
- CenterWell (Honolulu, HI)
- …caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests, ... quality assurance or teaching position in/or related to a Medicare certified home health agency. + A thorough knowledge...retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental… more
