- 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 ... of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems , and Local Clinics and uses this to identify business opportunities and… 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
- 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 ...balances to ensure accurate posting in the revenue cycle system . + Research state, federal and payer specific payment… 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...- all from your desk + Learn to navigate systems , handle calls with confidence, and build trusted relationships… 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 ... System . Knowledge of working FISS(Florida Institutional Shared System ) in order to resolve Medicare claim issues . Keep abreast of Medicare / 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 ... A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment...of ICD-10, CPT and CPT (II), and HCPCS coding systems required + Knowledge of Medicare Advantage… 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...- all from your desk + Learn to navigate systems , handle calls with confidence, and build trusted relationships… more
- Wider Circle (Los Angeles, CA)
- …+ Effective computer and application knowledge of Client Relationship Management systems like Salesforce, multi-dialer phone system , Google Workspace, and ... 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
- 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 is eligible for… 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
- 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
- PruittHealth (Norcross, GA)
- …In-depth knowledge of various billing documentation requirements, the patient accounting system , and various data entry codes to ensure proper service documentation ... functions in non-acute settings * Knowledge of Patient Management information system applications, preferably MatrixCare, as well as spreadsheet, word processing,… 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
- 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 ... overall sourcing strategy. NTT DATA Services currently seeks a **Associate Eligibility Specialist ** to join our team in **Pittsburgh, PA** . Associate Eligibility … more
- Sea Mar Community Health Centers (Seattle, WA)
- …by contracted entities such as Accountable Communities of Health and Medicaid/ Medicare organizations. + The TOC Integration Specialist must maintain the ... a mandatory COVID-19 and flu vaccine organization Transition of Care Integration Specialist - Posting #27558 Hourly Rate: $27.32 Position Summary: Sea Mar Community… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …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...the Training Director + Maintain hard copy/ electronic filing system + Maintain office supply inventories + Record, compile,… more
- BeneLynk (San Antonio, TX)
- …to Medicare Advantage beneficiaries enrolled in a BeneLynk contracted Medicare Advantage plan. The Member Engagement Specialist makes outbound telephone ... the advocacy that changes lives and improves outcomes. Everything we do, from the systems we build, to our government relations, to our outreach operations, is in… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Specialist + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Care Management + ... + Req #:42522-31559 + FTE:1 + Posted:July 18, 2025 **Summary** **SUMMARY:** The System Utilization Management (SUM) Care Without Delay RN is a pivotal role… more
- Sharp HealthCare (San Diego, CA)
- …- The American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA); ... medical information for functional areas in the Sharp HealthCare system . Assures correct assignment of ICD-10-CM and CPT 4...hospital coding experience in each of the following coding systems : ICD-10-CM, CPT, E&M, and HCPCS. + Certified Procedural… more
- Alameda Health System (Alameda, CA)
- …years experience in a business office and/or accounting capacity. Minimum Experience:Recent Medicare and Medical insurance billing. Alameda Health System is an ... AHD Business Office/Accounting Specialist + Alameda, CA + Park Bridge +...individual in the classification. 1. Responsible for Census tracking, Medicare A and B billing and Medi-Cal billing. Starts… more
