- Novo Nordisk Inc. (Montclair, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Requirements, Step Therapy, Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to… more
- Merck & Co. (Grand Rapids, MI)
- …Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. - Minimum Requirements: Bachelor's degree with ... customers will be hired at the S3 Oncology Sales Specialist level. oncologysalesPPOC2eligibleforerpMSJRVETJOBSEBRGEmployees working in roles that the Company… more
- BreakThrough Physical Therapy (Wake Forest, NC)
- …with all regulatory guidance including but not limited to HIPAA, Medicare rules and billing and coding guidanceCommunicate effectively with patients/clients, the ... Carolina required.Completion of or enrollment in residency training preferredClinical Specialist board certification preferredExperienced and newly graduated Physical Therapists… more
- Baton Rouge Physical Therapy - Lake (Gonzales, LA)
- …with all regulatory guidance including but not limited to HIPAA, Medicare rules and billing and coding guidanceCommunicate effectively with patients/clients, the ... Lousiana requiredCompletion of or enrollment in residency training preferredClinical Specialist board certification preferredExperienced and newly graduated Physical Therapists… 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
- Walworth County (Elkhorn, WI)
- Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 ... Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, … 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 ... and facilitate Medicare Compliance and Medicare Set-Aside (MSA) functions within the assigned team. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Compiles,… more
- Hartford HealthCare (Farmington, CT)
- …Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA Medicare Billing* **Location:** ... *Connecticut-Farmington-9 Farm Springs Rd Farmington (10566)* **Requisition ID:** *24153200* 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
- 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, ... apply!* Responsibilities + You will lead the Wider Circle Medicare program in your assigned area, using the Wider...You will enroll prospective members in the Wider Circle Medicare program. and you will hold yourself accountable for… 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 (Erie, PA)
- Wider Circle is looking for a Community Health Engagement Specialist in Erie, PA, to play a vital role in our groundbreaking program, which connects neighbors for ... first 90 days. Requirements + A genuine interest in working with Medicaid/ Medicare /DSNP populations and a commitment to building strong, supportive communities. +… more
- TEKsystems (Plano, TX)
- …concerning claims issues. + Assists with all calls, correspondence and concerns regarding Medicare claims with the FI's. + Take action on bill review requests from ... the Collections Team in a timely manner. + Complete worklist daily and ensure all accounts are set for follow up. + Review unbilled accounts and ATB to ensure timely billing and collection. + Communicate all denials to the billing supervisor. + Aggressively… more
- Universal Health Services (Las Vegas, NV)
- …Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre-access ... management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description: Responsible for the maintenance and processing of patient accounts and hospital insurance… 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 ... standards, are familiar with the rules and regulations of Medicare billing and are skilled at problem solving and...correct diagnosis, and procedure codes are utilized. 4. Submits Medicare claims, including the maintenance of bill holds and… more
- The Cigna Group (Bloomfield, CT)
- …Bloomfield, Connecticut (must be located in/or near area)** **Summary** The Cigna Medicare Growth Enablement Specialist will be responsible for management, ... delivery and execution of Sales Medicare initiatives designed to drive profitable growth, improve efficiency of business processes and reduce operational expenses… more
- Centerwell (Las Vegas, NV)
- …with EMR's + Knowledge of medical terminology + Knowledge of Managed care and Medicare **Front Desk Specialist Working hours:** Scheduled 40 hours per week ... our caring community and help us put health first** The Front Desk Specialist contributes to administration of care management. Provides non-clinical support to the… more
- Centerwell (Mesa, AZ)
- …with EMR's + Knowledge of medical terminology + Knowledge of Managed care and Medicare **Front Desk Specialist Working hours:** Scheduled 40 hours per week ... caring community and help us put health first** The Front Office Specialist contributes to administration of care management. Provides non-clinical support to the… 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 #26208 Hourly Rate: $25.75 Position Summary: Sea Mar Community… more
- Johns Hopkins University (Middle River, MD)
- …years coding experience with demonstrated analytical skills. + Experience with Medicare regulations. Classified Title: Coding Specialist II Role/Level/Range: ATO ... We are seeking a **_Coding Specialist II_** who will be responsible for understanding all aspects of coding, quality assurance and compliance with Federal payer… more
