- 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 ... experience working in one or more of the following areas preferred : Pharmaceutical/Healthcare, Sales, Consulting, Customer Service or Military Intermediate computer… more
- Wider Circle (Los Angeles, CA)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their needs....Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to connect with… more
- 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
- 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 ... + Six or more years of clinic or IPA and/or managed care experience, preferred + Knowledge of Medicare Advantage billing/claims submission and other related… more
- Commonwealth Care Alliance (Boston, MA)
- …Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred . **Required Knowledge, ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
- Adecco US, Inc. (Monroeville, PA)
- …**Required Experience and Skills:** + 1 year **of medical billing experience** ( Medicare experience preferred ). + Strong computer skills, including proficiency ... in **Microsoft Office Suite** . + Able to work **on site** in Monroeville, PA every other Tuesday and Thursday In this role, you'll support the pharmacy revenue cycle by assisting with insurance verification, billing, compliance, and customer service. You'll… more
- PruittHealth (Norcross, GA)
- …AA/AS in Accounting or Business (or Equivalent Education / Experience) preferred . **MINIMUM EXPERIENCE REQUIRED:** * Demonstrates experience and a proven track ... record in Insurance Claims in a medical setting of moderate size and complexity, information systems, and patient accounting applications, as typically acquired in1-3 years of patient accounting / medical billing positions * Experience in month end close… 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) ... experience preferred . 3-5 years of direct experience in a Primary Care setting preferred . Certified Nurse Specialist (CNS) preferred . Work Days: Monday -… more
- New York State Civil Service (Schenectady, NY)
- …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 / Trainee - Upstate Occupational Category Other Professional Careers ... the Medicaid Compliance Unit (MCU) as it relates to ensuring Medicaid and Medicare compliance in Article 16 Clinics and for Independent Practitioner Services for… 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)
- …field. + Preferred experience as a caseworker, case manager, intake specialist , or related work experience with the long-term care client population, preferably ... Job Description The Facility Financial Specialist is responsible for welcoming and directing new...face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage… 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 ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
- UPMC (Pittsburgh, PA)
- …highly preferred . + Prior experience working with Dual Eligible (Medicaid/ Medicare ) populations highly preferred . + Experience in counseling under ... UPMC's Health Plan and WorkPartners are hiring an EAP Specialist for their LifeSolutions Clinical Services Team. This is...work partially onsite and remotely. Staff may choose their preferred location to report to as the team has… more
- Elara Caring (Broken Arrow, OK)
- …environment is preferred + Working knowledge of Medical Terminology and Medicare /Medicaid rules is preferred + Proficiency with MS Office Suite (Word, ... Right Time, in the Right Place. **Job Description:** **Claim Specialist ** At Elara Caring, we care where you are...to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and… 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
- 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
- NHS Management, LLC (Daytona Beach, FL)
- …experience along the way. We are in search of a qualified Finanical Specialist Assistant: To perform the successful and timely completion of assigned business and ... + Performs assigned billing functions as directed by Financial Specialist or Administrator in the completion of all routine...related tasks, including but not limited to: + Medicaid, Medicare and/or secondary billing + Assist with evaluation and… more
- University of Colorado (Aurora, CO)
- **Peer Recovery Specialist Patient Services** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of Psychiatry | ... Services (ARTS) | Adult Outpatient Program** **Job Title: Peer Recovery Specialist - Patient Services** **Position: #00828232 - Requisition: #35187** **Job… more
- HonorHealth (AZ)
- …project management, clinical trial operations, coding/billing compliance, Medicare coverage analysis/budgeting, contracting, Clinical Trial Management Systems ... finance and accounting principles. The successful Senior Clinical Trial Operations Specialist will lead and coordinate the activities of a multidisciplinary team… more
- AdventHealth (Hinsdale, IL)
- …patients + Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) + standards and communicates relevant coverage/eligibility ... gathers details (eg, insurer name, plan subscriber) + Performs Medicare compliance review on all applicable Medicare ...+ One year or more of relevant healthcare experience preferred + Prior collections experience preferred +… more
