- Northeast Georgia Health System, Inc (Gainesville, GA)
- …the health of our communities. About the Role:Job SummaryThe Research Regulatory Specialist performs a wide range of tasks essential to the submission, approval, ... in clinical research and regulatory procedures is strongly desired.Other: Preferred Job QualificationsPreferred Licensure or other certifications: Preferred … more
- LHH Recruitment Solutions (Phoenix, AZ)
- …in Medicare , Medicaid, and Commercial Insurance billing and authorizations. Preferred experience in team management. Knowledge of various EMR and Practice ... required or assigned. Qualifications: High school diploma required; college degree preferred . 3+ years of experience in physician billing and receivables management.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of successful experience organizing and negotiating value based payment terms with Medicare Advantage and Medicaid plans; Advanced knowledge of and ample experience ... and managing key contractual inputs that drive the proformaOther: Preferred Job QualificationsPreferred Licensure or other certifications: Preferred Educational… more
- Option Care Health (Bannockburn, IL)
- …for business purposes (within state and out of state). PREFERRED QUALIFICATIONS:Bachelor's degree in Healthcare Administration or Business-related field.At least ... 2 years of experience applying knowledge of Medicare , Medicaid, and Managed Care reimbursement guidelines.Certification in Compliance as recognized by the Society of… more
- Compass Health Network (Union, MO)
- …staff, Nurse Care Managers, and administratively supervises the Behavioral Health Specialist . ESSENTIAL FUNCTIONS - JOB SPECIFIC Administration and management of ... cycles for process ImprovementKeep informed of, and communicate, any changes to Medicare , Medicaid, and any Private Insurance Carriers regarding covered services and… more
- Atrium Health (Charlotte, NC)
- …strategy, vision, mission, and goals. Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides ... and understanding of severity based DRG systems; All-Patient Refined and Medicare Severity (APR-DRG), Medical Severity Diagnostic Related Group System (MS-DRG) and… more
- Wider Circle (Mcallen, TX)
- …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
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Specialist (Remote) **PRIMARY PURPOSE** **:** To coordinate, analyze ... experience or equivalent combination of experience and education required. Experience with Medicare issues preferred . **Skills & Knowledge** + Thorough knowledge… more
- Wider Circle (Reading, PA)
- Wider Circle is looking for a Bilingual Community Health Engagement Specialist in Reading, PA to join our circle and play a vital role in running Connect for Life, ... are encouraged to apply!* Responsibilities + You will lead the Wider Circle Medicare program in your assigned area, using the Wider Circle-developed curriculum to… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... productivity performance standards, are familiar with the rules and regulations of Medicare billing and are skilled at problem solving and account resolution. They… more
- Houston Methodist (Katy, TX)
- Medicare compliance experience is preferred ** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** ... **. (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with Houston Methodist's Corporate Central… more
- Wider Circle (Richmond, VA)
- Wider Circle is looking for a Community Health Engagement Specialist in Richmond, VA, to play a vital role in our groundbreaking program, which connects neighbors ... first 90 days. Requirements + A genuine interest in working with Medicaid/ Medicare /DSNP populations and a commitment to building strong, supportive communities. +… more
- TEKsystems (Minneapolis, MN)
- …This is a non-IT position falling under the operations vertical. This team specifically works Medicare plans. This is a smaller team of 6 and growing to 12. These ... required 1 year of Excel experience (No V lookups or Pivot Tables) Preferred experience: 3+ years of health care insurance experience. Knowing medical terminology,… more
- CVS Health (Richmond, VA)
- …help to support various Scorable Action Items (SAI) programs in the Medicare population, including Fraud, Waste, and Abuse (FWA), Formulary Education, Therapeutic ... for: + Performing pharmacy reviews and making evidence-based recommendations regarding Medicare members + Identifying opportunities within the health plan for… more
- Amergis (Towson, MD)
- Amergis Healthcare Staffing is seeking a Billing Specialist . TheBilling Specialist will support the organization's accounts receivable processby representing ... as assigned/necessary. Minimum Requirements: + High School Diploma or GED required. + Medicare Part-B experience + eCW experience + One to two years reimbursement,… more
- InnovaCare (Ponce, PR)
- …passion and customer focus to the business. POSITION DESCRIPTION The Quality Specialist Nurse is responsible for monitoring quality of care and services delivered ... of experience in clinical nursing. Previous QA review experience preferred . GENERAL SKILLS AND KNOWLEDGE + Must have ability...management in North America. Through two it's main ways, Medicare Advantage and the provider network, we are committed… more
- MD Anderson Cancer Center (Houston, TX)
- …of the PBS Billing Specialist position is to bill and follow-up on Medicare claims within regulatory guidelines. The PBS Billing Specialist must ensure that ... trainees, professionals, employees and the public. **Summary** The PBS Billing Specialist provides professional expertise in daily governmental billing and follow-up… more
- MetroLink (Los Angeles, CA)
- Special Services Employee (TEMP) - Finance Specialist II (Accounts Payable) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4435696) Apply ... Special Services Employee (TEMP) - Finance Specialist II (Accounts Payable) Salary $1,827.77 - $2,834.85 Biweekly...(10) Health Maintenance Organization (HMO) plans and two (2) Preferred Provider Organization (PPO) plans. Some health plans are… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Contracts Specialist performs quality control checks, confirms that contract and procurement processes… more
- The Wesley Community (Saratoga Springs, NY)
- …in medical billing required. + Experience in a Skilled Nursing facility billing preferred . + Experience in Medicare , Medicaid and Commercial insurance plans ... Billing Specialist Full Time | Day Shift | 8am-4:30pm...+ Prepare and produce all Wesley primary billing for Medicare , HMO, VA, MLTC as well as secondary Medicaid… more
