- Sevita (Minneapolis, MN)
- …codes, UB-04, and HCFA-1500 forms Strong understanding of medical collections compliance , Medicare , Medicaid, Medicaid managed care, Commercial, Workers Comp, ... Accounts Receivable Collections Specialist Do you have experience in Accounts Receivable/Collections...sales adjustments, and transfer of liability Ensure internal control compliance with all assigned areas and other audit requirements… more
- Macpower Digital Assets Edge (Los Angeles, CA)
- Job Summary: The Customer Solutions Center Appeals and Grievances (A&G) Training Specialist II is primarily responsible for the overall training strategy across the ... database/system updates, training agendas, sign-in sheets, etc. to demonstrate trainee compliance with department requirements. Work with key stakeholders to monitor… more
- BG Consulting Services LLC (Bethesda, MD)
- …demand and other issues impacting MTF capabilities, access and patient care compliance and/or quality of care and services. Projects and studies require analysis ... Team Leader, provide occasional value-added support by assuming Team Lead responsibilities. 21. Use business intelligence applications to extract, manipulate,… more
- Tennr (New York, NY)
- …New Normal Fund, and other top investors. Role Description We're hiring a Director of Compliance to build and lead a cross-functional compliance program that ... compliance into onboarding, contracting, data handling, and day-to-day workflows. Lead company-wide compliance training programs on topics such as privacy,… 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...Medicaid Services (CMS). + Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category… more
- PruittHealth (Norcross, GA)
- …concepts, and skills; Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed. 15. Assists in orientation and ... 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… more
- Trinity Health (Livonia, MI)
- …and periodic risk assessments in support of the Trinity Health Integrity & Compliance Program (ICP). Risk assessments consider legal and regulatory compliance ... Health & Human Services (DHHS) - Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Department of Justice (DOJ) as well as input… more
- HonorHealth (AZ)
- …competencies include project management, clinical trial operations, coding/billing compliance , Medicare coverage analysis/budgeting, contracting, Clinical Trial ... basic finance and accounting principles. The successful Senior Clinical Trial Operations Specialist will lead and coordinate the activities of a… more
- Aveanna Healthcare (Dallas, TX)
- Healthcare Administrative Specialist ApplyRefer a FriendBack Job Details Requisition #: 205019 Location: Dallas, TX 75287 Category: Administrative/Clerical Salary: ... $13.00 - $15.00 per hour Position Details Position: Operations Specialist (Medical Records Specialist ) Join a Company That Puts People First! Aveanna Healthcare… more
- Molina Healthcare (Vancouver, WA)
- …supports continuous improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other ... departments. **Job Duties** + Acts as a lead specialist to provide project, program, and/or initiative related direction and guidance for other specialists… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the… more
- WellSpan Health (York, PA)
- …Peer Specialist . + Completes no less than 8 billable shadowing hours with a Lead Certified Peer Specialist . + Completes and passes the required PCB exam for ... Life Skills training. + Completes a 75-hour approved Peer Specialist training within 8 weeks of hire date. +...strategies. + Completes yearly annual safety education modules in compliance with WellSpan Philhaven policy. + Performs and participates… more
- Trinity Health (Albany, NY)
- …Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION PURPOSE:** ... The Risk Adjustment Coding Specialist works in a team environment and is responsible...adhering to coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). **SKILLS, KNOWLEDGE, EDUCATION AND… more
- Organon & Co. (Plymouth Meeting, PA)
- …highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in developing ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. The role will also support the development of a… more
- Cleveland Clinic (Garfield Heights, OH)
- …a rewarding, lifelong career in a diverse and welcoming environment. As a SQPE Specialist II, you will lead safety, quality and experience efforts by focusing ... A caregiver in this role serves as a Stroke Coordinator-ensuring compliance with stroke certification standards and promoting continuous improvement-and supports… more
- Trinity Health (Westerville, OH)
- …relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare , Medicaid and other ... Full time **Shift:** **Description:** **Position Purpose:** + Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission… more
- Trinity Health (Columbus, OH)
- …relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare , Medicaid and other ... 8:00 am - 4:30** **pm.** **Position Purpose:** + Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission information… more
- UTMB Health (Galveston, TX)
- …* Obtains and documents required for third party reimbursement. * Ensures compliance with Medicare and third-party coverage. * Communicates with patients, ... Patient Services Specialist II - Ambulatory Referral Coordination **Galveston, Texas,...services for new and returning patients. **ESSENTIAL JOB FUNCTIONS** ** LEAD RESPONSIBILITES:** * Ability to function as a team… more
- Scotland Health Care System (Laurinburg, NC)
- Job Title: Pre-Authorization Specialist Location: Scotland Health Care System Job Description: Scotland Memorial is seeking a dedicated and detail-oriented ... Pre-Authorization Specialist to join our team. The Pre-Authorization ...specific payer-provider requirements. This role is crucial in maintaining compliance and ensuring that patients receive timely and appropriate… more
- State of Colorado (Pueblo, CO)
- Health Care Technician III - Employment First Specialist - Pueblo Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5016259) Apply ... Health Care Technician III - Employment First Specialist - Pueblo Regional Center Salary $1,769.60 - $2,124.00...with Intellectual Disabilities in a HCBS Waiver facility in compliance with state and federal rules and regulations. The… more
