- 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 dynamic ... team has the responsibility of resolving outstanding insurance claims...for casual work attire, jeans are our norm! The Medicare Exhaust Specialistsupports the accounts of patients who have… more
- Humana (Olympia, WA)
- …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... Advantage and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid,… more
- The Cigna Group (Bloomfield, CT)
- …allowing for and assisting with definition and development of future opportunities for the Medicare team . The ideal candidate will be able to master complex and ... a high-energy, positive individual to join our Regulated Markets team . The leadership and strategic direction you'll provide will...and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …of multi-year strategies and tactics designed to ensure complete and accurate medical record documentation and coding. The Program Manager will contribute ... key relationships throughout the organization including, but not limited to, Medicare Product, Provider Contracting, Health and Medical Management, Actuarial,… more
- BlueCross BlueShield of North Carolina (NC)
- …Clinical Documentation Review, Hyper Text Markup Language (HTML), ICD Coding, Medicaid, Medical Billing and Coding, Medical Documentation , Medical ... and Medicaid Services (CMS). **What You'll Do** + Analyzes necessary documentation , including medical records/charts, and applies clinical coding expertise to… more
- OhioHealth (Columbus, OH)
- …matter expert in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- BlueCross BlueShield of North Carolina (NC)
- …+ In accordance with SIU Policies and Procedures, maintains timely and factual documentation in designated case tracking, from inception to case closure + Prepares ... of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience +...the cutting edge of health care delivery with a team that's deeply invested in the community + Work-life… more
- BroadPath Healthcare Solutions (Kapolei, HI)
- …**Lead With Purpose - Make an Impact in Healthcare Sales** **Telesales Supervisor - Medicare Sales Team ** **Location: The Hive, powered by BroadPath in Kapolei, ... leadership skills to the next level? Join our growing team as a Telesales Supervisor based out of The...of licensed sales agents who help consumers enroll in Medicare Advantage and Prescription Drug Plans. This is your… more
- CVS Health (Blue Bell, PA)
- …actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage business. The primary responsibility of this role will be to ... sound, unbiased recommendations on these matters. **Leadership:** + Manage personal and team resources efficiently to complete projects. + Exhibit innovative use of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... (oral and written) + The ability to work independently and on a team + Knowledgeable with the Patient Accounts System(s): Eagle, MEMS, Trac/On-Trac, Cirius, FSS,… more
- Adecco US, Inc. (Monroeville, PA)
- …and Thursday** . **Required Experience and Skills:** + 1 year **of medical billing experience** ( Medicare experience preferred). + Strong computer skills, ... and other billing regulations. + Audit processes and ensure documentation meets regulatory standards. + Foster a culture of...+ Set and support individual performance goals within the team . Benefit offerings include medical , dental, vision,… more
- PruittHealth (Norcross, GA)
- …responsibilities for all assigned locations. This position functions within a team environment and under general supervision. Successful individuals manage a volume ... skilled at problem solving and account resolution. They work well within a team and help foster an environment where continuous improvement in business processes and… more
- BrightSpring Health Services (Arlington, TX)
- Our Company PharMerica Overview Join our PharMerica team ! PharMerica is aclosed-door pharmacywhere you can focus on fulfilling the pharmaceutical needs of our ... is service excellence and top-quality care come join our team and apply today! Responsibilities + Act as a...resource to the facilities in obtaining information completing necessary documentation or following up on outstanding claims + Individual… more
- Sutter Health (San Francisco, CA)
- …matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care ... meets with care management, UM staff and health care team members and medical directors of third-party...professional, HIM (Health Information Management ) ,and the hospital's medical staff to facilitate accurate and complete documentation… more
- AdventHealth (Altamonte Springs, FL)
- …valid clarifications that are easily understood by physicians and other members of the medical team . . Accurately reconciles all cases in CDI Software. . Assists ... of the patient. The CDS educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing,… more
- Penn Medicine (Philadelphia, PA)
- …staff w regard to changes in coding practices and noted trends noted in team documentation requiring clarity and/or specification to reflect truth in diagnostic ... responsible for supporting an organization-wide system for improving clinical documentation in the medical record by prompting...audit clarity and full reflection of severity in care team documentation w consideration of CMS coding… more
- Northwell Health (Lake Success, NY)
- …risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. ... or conflicting documentation . Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record.… more
- UCLA Health (Los Angeles, CA)
- …and mid-levels; and assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team , you will ... UCLA Health. You will become a member of our highly successful of our Documentation Improvement Integrity team , including all modalities. This will involve daily… more
- Penn State Health (Lancaster, PA)
- …rules of Medicare , Medicaid, and commercial payers preferred. + Electronic medical record and chart review experience preferred. + CCS and/or CCDS preferred. ... Work with program leadership to plan, develop, and implement clinical documentation education programs for CDI specialists and providers. Educate members of… more
- Fresenius Medical Center (Baltimore, MD)
- …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). + ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more