- PruittHealth (Norcross, GA)
- …with members of own and other teams to communicate effectively and ensure compliance with cross-team responsibilities. 17.Carries out all duties with a Commitment to ... Caring attitude in accordance with PruittHealths mission, vision, and philosophy. KNOWLEDGE, SKILLS, ABILITIES: *In-depth knowledge of various billing documentation requirements, the patient accounting system, and various data entry codes to ensure proper… more
- Career Strategies (Skokie, IL)
- Job Opportunity: Billing Specialist with SNF Experience Are you an experienced Billing Specialist with a passion for ensuring accurate and timely billing in the ... for our facilities! About the Role: As a Billing Specialist , you will be responsible for billing all payors,...Triple Checks to ensure billing accuracy. Your expertise in Medicare Parts A and B, as well as Managed… more
- Ensemble Health Partners, Inc. (Greenville, SC)
- …functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within ... - St Francis - Eastside- in Greenville, SC The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at… more
- Ensemble Health Partners, Inc. (Philadelphia, PA)
- …PA Shift Hours: 3:00p-11:30p We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all ... while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as… more
- Fundamental Administrative Services, LLC (Sparks Glencoe, MD)
- Position Summary RN - Compliance Specialist Fundamental Administrative Services, LLC is searching for an experienced Registered Nurse to support client skilled ... Range USD $95,000.00 - USD $105,000.00 /Yr. Duties & Responsibilities The RN Compliance Specialist will assist in coordinating compliance audits, claim… more
- Astrana Health, Inc. (Houston, TX)
- Risk Adjustment Coding Specialist II (Houston, TX) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 19500 HWY 249, Suite 570 Houston, TX ... are currently seeking a highly motivated Risk Adjustment Coding Specialist . This role will report to a Sr. Manager...diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk… more
- Turnwell Mental Health Network, Inc. (Dallas, TX)
- Job Type Full-time Description The Credentialing Specialist plays a critical role in supporting Turnwell's mission by ensuring that all providers are credentialed, ... works closely with internal teams and external partners to maintain compliance with regulatory and accreditation standards and supports a high-performing provider… more
- Monument Health (Box Elder, SD)
- …with heart. That is what you will do each day. As a Patient Access Specialist I at Monument Health, you can begin your healthcare career with no experience ... make a difference. Every day. As a Patient Access Specialist I, you are responsible for the integrity of...activities. Demonstrates knowledge of payer information and benefits, including Medicare , Medicaid, and commercial payers as well as third… more
- Savista (Raleigh, NC)
- …our values of Commitment, Authenticity, Respect and Excellence (CARE). The Shared Services Specialist not only acts as an advocate for the customer, but also serves ... knowledge of commercial and government insurance plans (Medicaid and Medicare ), payer networks, government resources, and medical terminology. Create, distribute,… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Grievance & Appeals Nurse Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed to ... current job opportunities below. Job Title: Grievance & Appeals Nurse Specialist Department(s): Grievance and Appeals Resolution Services (GARS) Reports to: Manager… more
- Conifer Health Solutions (Federal Way, WA)
- …to enable individuals with disabilities to perform the essential functions. CDI Specialist must display teamwork and commitment while performing daily duties Must ... Travel may be required to meet the needs of the facilities Advanced knowledge of Medicare Part A and familiar with Medicare Part B Intermediate knowledge of… more
- Trinity Health (Howell, MI)
- …hire and ongoing as new systems and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the ... and skills competencies such as the Certified Revenue Cycle Specialist Professional (CRCSP) through the American Association of Healthcare Administrative… more
- Hospital for Behavioral Medicine (Worcester, MA)
- …Apply knowledge of ICD-10 coding, claim formatting, and payer-specific requirements Ensure compliance with CMS, Medicare , Medicaid, and commercial payer billing ... Job Category Finance Description JOIN OUR TEAM AS A HOSPITAL BILLING SPECIALIST ! Status: Full-Time (On-site only - no remote) Bonus Opportunity: MONTHLY INCENTIVE… more
- Halifax Health (Port Orange, FL)
- Day (United States of America) Quality Improvement Specialist Responsible for review/extraction of patient care data related to the Hospice Quality Reporting Program ... accuracy and completeness of information prior to submission to Centers for Medicare and Medicaid Services (CMS). Responsible for coordinating the collection of… more
- CarepathRx (Oakdale, PA)
- …infusion therapy for admissions in accordance with company policies, CME Medicare guidelines, CMS HIT, ACHC standards and insurance requirements for authorizations. ... home safety. Qualify patients for home infusion therapy bases on CMS Medicare guidelines, CMS HIT, insurance requirement for authorizations, compile all supporting… more
- Mindlance (Nashville, TN)
- …Job Type: Contract Position Summary: We are seeking a detail-oriented and compliance -focused Medicare Marketing Material Reviewer to support the review and ... submitted by TPMOs (eg, agencies, brokers). *Review submitted materials to ensure compliance with CMS Medicare Marketing Guidelines, applicable regulations, and… more
- Kestra Medical Technologies, Inc (Detroit, MI)
- …care teams harmoniously monitor, manage, and protect life. The Clinical Account Specialist (CAS) will be responsible for providing high quality touchpoints in key ... the care team of process and training for patient compliance and experience. *Link the SWO renewal process back...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- Qlarant (Atlanta, GA)
- …to staff and service providers on best practices, quality standards, and compliance requirements. Exercises professional judgment and takes immediate action in the ... to work independently and as part of a team Experience with regulatory compliance and standards Proficient in Microsoft Office Suite and quality management software… more
- Suvida (Houston, TX)
- …built to address the physical, behavioral, social, and cultural needs of Medicare -eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that ... accurately and in a timely manner. This position works closely with the Compliance , Billing and Coding, Operations, and external partners, to maintain current and… more
- Northwell Health (Great Neck, NY)
- …of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. Generates queries and have follow up ... National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts… more
