- AdaptHealth LLC (Torrance, CA)
- …to succeed in this role Find out below. Position Summary: The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required ... data through systems as well as system interaction General knowledge of Medicare , Medicaid, and Commercial health plan methodologies and documentation requirements … more
- Molina Healthcare (Warren, MI)
- …team members, and manager. Basic understanding of managed healthcare systems and Medicare . ** PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social ... Work, Human Services, or related field. ** PREFERRED EXPERIENCE:** Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP. To all… more
- Insight Global (Pleasanton, CA)
- Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for ... the accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role...preferred . * 2+ years of experience specifically in Medicare billing. * Knowledge of CMS 1500 claims, CPT/HCPCS… more
- HCA Healthcare (Reston, VA)
- …purpose and integrity. We care like family! Jump-start your career as a Medicare Specialist today with Parallon. **Benefits** Parallon offers a total rewards ... **_Note: Eligibility for benefits may vary by location._** Come join our team as a Medicare Specialist . We care for our community! Just last year, HCA Healthcare… more
- Community Health Systems (La Follette, TN)
- **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... are submitted in accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and state… more
- Commonwealth Care Alliance (Boston, MA)
- …Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred . **Required Knowledge, ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
- Southeast Health (Dothan, AL)
- …Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution. Job ... to obtain accurate reimbursement; + Understands the use of and navigation of Medicare 's DDE system and other governmental and commercial payer websites for claim… more
- PruittHealth (Norcross, GA)
- …AA/AS in Accounting or Business (or Equivalent Education / Experience) preferred . **MINIMUM EXPERIENCE REQUIRED:** * Demonstrates experience and a proven track ... record in Insurance Claims in a medical setting of moderate size and complexity, information systems, and patient accounting applications, as typically acquired in1-3 years of patient accounting / medical billing positions * Experience in month end close… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) ... experience preferred . 3-5 years of direct experience in a Primary Care setting preferred . Certified Nurse Specialist (CNS) preferred . Work Days: Monday -… more
- University of Southern California (Los Angeles, CA)
- The Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant ... services and Medicare cost report (MCR) requirements. This includes but not...communication skills. + Req Strong interpersonal and analytical skills Preferred Qualifications: + Pref Advanced education preferred … more
- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization...provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date.… more
- Penn Medicine (Lancaster, PA)
- …or holidays. Penn Medicine Lancaster General Health is seeking a Clinical Nurse Specialist (CNS) **_or_** CNS Fellow with Cardiac and/or Critical Care expertise. The ... standards and regulatory guidelines. + Other duties as assigned. **Clinical Nurse Specialist Minimum Required Qualifications :** + Master of Science degree in… more
- Heritage Ministries (Greenhurst, NY)
- …field. + Preferred experience as a caseworker, case manager, intake specialist , or related work experience with the long-term care client population, preferably ... Job Description The Facility Financial Specialist is responsible for welcoming and directing new...face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage… more
- Masonicare (Wallingford, CT)
- Clinical Assessment Specialist (DAY SHIFT) Job Location: Wallingford Center, Connecticut Clinical Assessment Specialist (DAY SHIFT) 40 hrs/wk Day Shift Summary ... development and implementation of a comprehensive care plan. 4. Oversees compliance with Medicare Certifications for all Medicare A / PPS patients/residents on… more
- Cedars-Sinai (CA)
- …preferably in a healthcare environment, required. Two (2) years of Medi-Cal, Medicare or Commercial Managed Care experience preferred . **About Us** Cedars-Sinai ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation...and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for… more
- Centene Corporation (Tallahassee, FL)
- …field preferred . 5+ years of combined experience in pharmacy, Medicare Prescription Drug Plan, customer service, call center quality and oversight, complaint ... including a fresh perspective on workplace flexibility. **Prescription Drug Plan Specialist ** **Position Purpose:** The Prescription Drug Plan Specialist works… more
- Independent Health (Cheektowaga, NY)
- …One (1) year of customer service and/or sales experience required. Experience working with Medicare preferred . + Current license to sell health insurance in the ... fosters growth, innovation and collaboration. **Overview** The Red Shirt Promotion Specialist will be responsible for sales acquisition and retention strategies for… more
- NHS Management, LLC (Vestavia Hills, AL)
- …experience along the way. We are in search of a qualified Finanical Specialist Assistant: To perform the successful and timely completion of assigned business and ... + Performs assigned billing functions as directed by Financial Specialist or Administrator in the completion of all routine...related tasks, including but not limited to: + Medicaid, Medicare and/or secondary billing + Assist with evaluation and… more
- University of Colorado (Aurora, CO)
- **Peer Recovery Specialist Patient Services** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of Psychiatry | ... Services (ARTS) | Adult Outpatient Program** **Job Title: Peer Recovery Specialist - Patient Services** **Position: #00828232 - Requisition: #35187** **Job… more
- Care Initiatives (West Des Moines, IA)
- …during their healthcare journey? If so, join Care Initiatives as a Billing Specialist , where you will provide comprehensive care that truly matters. With over forty ... care and support at every stage of the healthcare journey. This Billing Specialist opportunity is great for an individual that is organized, process driven, and… more
