- Novo Nordisk Inc. (Traverse City, MI)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... access to build and maintain business-relevant relationships with customers: prescribers, support staff, pharmacies, and clinic administrators to gain access 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 ... overall sourcing strategy. NTT DATA Services currently seeks a **Associate Eligibility Specialist ** to join our team in **Pittsburgh, PA** . Associate Eligibility … more
- Wider Circle (Los Angeles, CA)
- …They will maintain high productivity, discipline, and conversion rates to best support Medicare beneficiaries. If you are passionate about serving underserved ... Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to connect with...phone, then come join us in our movement to support the Medicare population. Company Overview At… 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 ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...want you to apply! **Job Summary and Qualifications** The Medicare Specialist will be responsible for all… 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
- BroadPath Healthcare Solutions (Kapolei, HI)
- …**Fast-track your future.** In just 7 weeks, you'll go from trainee to licensed Medicare Specialist + **Medical and 401(k) benefits** are available after a ... **Overview** **Launch Your Healthcare Career - No Experience Needed** ** Medicare Sales & Enrollment Specialist ** **Location: The Hive, powered by BroadPath in… 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, ... coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses all resources...numerous health and wellness programs + Parental leave and support plus adoption and surrogacy assistance + Career development… more
- Commonwealth Care Alliance (Boston, MA)
- …accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, and provider… more
- Molina Healthcare (Omaha, NE)
- …PST hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing and resolving ... with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position...F-1 STEM EAD program, SSO may be able to support a STEM EAD extension application at the sole… more
- BroadPath Healthcare Solutions (Salem, OR)
- **Overview** **Launch Your Healthcare Career - No Experience Needed** ** Medicare Sales & Enrollment Specialist ** **Location: The Hive, powered by BroadPath in ... Learn and Do** + Guide prospective members through their Medicare options with clarity and care + Enroll customers...health insurance exam (we cover costs and provide study support !) + Willingness to work onsite 2x/week post-training for… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …discovering irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale ... Agents, Benefit Navigators, and Medicare Support Specialists are conducting activities that are in compliance with CMS/DOH and company guidelines by directly… 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 ... every other Tuesday and Thursday In this role, you'll support the pharmacy revenue cycle by assisting with insurance...other factors ** What You'll Do** + Monitor and support the revenue cycle process to ensure optimal financial… 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) ... management, and available wellness resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance. Work closely with… 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
- Adecco US, Inc. (Minneapolis, MN)
- **Adecco is assisting a local client recruiting for Broker Support Specialist opportunities in Minneapolis, MN.** This is an excellent opportunity to join a ... advancing health equity on a global scale. If Broker Support Specialist sounds like something you would...limited to:** ** ** + Provide operational and customer-facing support to Medicare Advantage broker agencies and… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** A Peer Support Specialist (Care Management Support ) is a person in recovery from a ... experiencing behavioral health challenges and receiving behavioral health services. The Peer Support Specialist 's role within the behavioral health system of… more
- DiPasquale Moore (Kansas City, MO)
- Health Insurance Lien Specialist / Administrative Assistant Kansas City, Missouri Competitive salary commensurate with experience! REQUIREMENTS: High School Diploma ... and a minimum of 1-year administrative support experience; Previous experience in health insurance lien management,...Job Overview: We are seeking a Health Insurance Lien Specialist to join our personal injury law firm. The… 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
- 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
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