- CenCal Health (Santa Barbara, CA)
- …- $53.31 per hour Job Summary The expectation for the Member Services Specialist is to provide robust customer service for CenCal Health's CareConnect members and ... the Plan's strategic goals and Mission. In this role, the Member Services Specialist provides proactive and compassionate support to CenCal Health members. This role… more
- Wilson Health (Sidney, OH)
- …Under the direction of the Manager of Patient Accounts, the Medicare /Medicaid Professional Billing Specialist releases Medicare /Medicaid HMO and MSP ... Assistance Program. Employment Status: Full Time Position Reports To: Manager , Patient Accounting Working Hours: Monday - Friday, Flexible...and mails hard copy 1500 claims as required. The Medicare Billing Specialist will follow up on… more
- Novo Nordisk Inc. (Traverse City, MI)
- …current co-promotion partners. Internally, the DCS report to the District Business Manager of the specific sales territory. The DCS also interact and collaborates ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- State of Washington (Olympia, WA)
- …heights up to 100 feet. Qualifications This is an Electrical & Electronics Systems Specialist 3 (EESS3) position. However, the hiring manager reserves the right ... WSDOT is currently seeking an Electrical & Electronics Systems Specialist 3 (EESS3) to join the Olympic Region's (OR)...This position has been approved for in-training. The hiring manager is looking to hire at the level, however… more
- Rotech Healthcare Inc. (Methuen, MA)
- …employment. Overview and Responsibilities Summary We are seeking a qualified Ventilator Patient Specialist to join the Rotech team. In this position, you will be ... Supports orientation and training of other personnel at the direction of the Manager Performs other duties and responsibilities as required by state licensure law or… more
- GLOBALHEALTH HOLDINGS LLC (Oklahoma City, OK)
- …Type Full Time Job Shift Day Description WHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in ... Through interdepartmental communication, network communication, and member outreach the Case Manager remains aware of patient needs and changes in condition,… more
- AdventHealth (Orange City, FL)
- …with current car insurance Preferred qualifications: Recent, relevant experience in a Medicare -certified home health agency as a case- manager Certified Case ... Home Health Speech Therapy Care Manager - AdventHealth Home Health All the benefits...The role you'll contribute: The Home Health ST Care Manager is a professional nurse who coordinates and directs… more
- Hospice of Santa Cruz County (Santa Cruz, CA)
- …hour shifts Fri/Sat/Sun. Highly desired bilingual (e/s) Job Summary The Nurse Case Manager (NCM) is a member of the core interdisciplinary team responsible for the ... the planning and delivery of services. The Nurse Case Manager provides direct supervision for Hospice Aides and LVNs,...structure of the Conditions of Participation & the Hospice Medicare /Medi-Cal / Concurrent Care Benefit Collaborates with IDT &… more
- Zenex Partners (San Francisco, CA)
- Description Job Description: The Clinical Documentation Specialist (CDS) uses strong clinical experience and knowledge to facilitate complete and specific clinical ... according to regulatory compliance set forth by Centers for Medicare and Medicaid Services (CMS). This process will be...Services (CMS). This process will be applied to all Medicare Fee for Service (FFS) patients as well as… more
- Regency Integrated Health Services (Cuero, TX)
- …accurate and timely completion of resident assessments in accordance with Medicare , Medicaid, OBRA and other payer program requirements. Ensures assessments ... the referral source(s). Ensures accurate and timely completion of all Medicare /Medicaid case-mix documents to assure appropriate reimbursement for services provided… more
- StateJobsNY (Thiells, NY)
- …Chief Physical Therapist, Chief Recreation Therapist, Developmental Disabilities Program Specialist 1, Developmental Disabilities Program Specialist 1 (Spanish ... Language), Developmental Disabilities Program Specialist 2, Developmental Specialist 4, Head Occupational Therapist, Head Physical Therapist, Head Recreation… more
- City of Santa Clara, CA (Santa Clara, CA)
- …advice and support on matters initiated by the City Council, City Manager 's Office, and City departments, including review and negotiation of contracts, leases, ... The Office consists of eight attorneys and a Risk Manager , who are supported by a full time Legal...a full time Legal Executive Assistant and Legal Office Specialist (recently added in the FY 25-26 budget), as… more
- NorthShore (Arlington Heights, IL)
- …meet internal, regulatory or payer requirements. When applicable, completes the Medicare Secondary Payer (MSP) questionnaire and discusses potential deferral of ... services according to NCH policy. Initiates the Medicare Advance Beneficiary Notice (ABN), as appropriate, and explains payer policies to patients. Streamlines check… more
- OU Health (Oklahoma City, OK)
- …Job Description General Description: The primary responsibilities of the Billing Office Manager are to lead, plan and direct the overall functions of the ... be involved in the staff training and development of the billing specialist team. Essential Functions/Duties: Responsibilities listed in this section are core to… more
- EmergeOrtho (Wilmington, NC)
- …managed care basics, and experience working with a managed care and Medicare population Comfortable using email, interacting with Internet applications and other ... Work in partnership with the patient's primary care physician or specialist to obtain medication recommendations in compliance with ASRA guidelines Present… more
- Marshfield Clinic Health System (Rothschild, WI)
- …Graduate of a vocational technical Health Unit Coordinator, Medical Office Specialist , or Medical Secretary program. EXPERIENCE Minimum Required: Excellent written ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- Banner Health (Phoenix, AZ)
- …(RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder ... of Banner Health's network of employed and contracted providers across Medicare Advantage, Medicaid, Commercial, and government value-based programs. This role leads… more
- Banner Health (Peoria, AZ)
- …therapy teams with a robust clinical support team: a field preceptor, an IT specialist , scheduler, therapy supervisor, and nurse manager . Our agency strives for ... measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This position is… more
- Trinity Health (Columbus, OH)
- …hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount ... in Columbus. Learn more at www.experiencecolumbus.com! About the job: Regulatory Specialist designs, directs and facilitates implementation of effective systems to… 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 ... benefits are exhausted. + Once patient determined to be Medicare Exhaust, specialist files Medicare ...and actions taken on individual accounts to Business Office Manager with the goal of making decisions on revenue.… more
