- 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...Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed. 15. Assists… more
- CareOregon (Portland, OR)
- Job Title Provider Relations Specialist Lead Department 116-Provider Relations Exemption Status Exempt Requisition # 24293 Direct Reports n/a Manager Title ... and maintaining accurate documentation of policies and procedures. The Lead serves as the example of acting as a...abreast of changes and advancements in the Provider Relations, Medicare , and Medicaid arenas. + Conduct and/or support new… more
- Cedar Rapids Community School District (Cedar Rapids, IA)
- Lead Benefits Specialist JobID: 12594 + Position Type: Specialist /Supervisor/Technician/ Specialist + Date Posted: 4/24/2024 + Location: ELSC + Date ... Available: ASAP LEAD BENEFITS SPECIALIST Cedar Rapids Community School...providing excellent customer service to all customers + Ensure compliance with government regulations and programs such as IRS… more
- Robert Half Accountemps (Monterey Park, CA)
- Description The Compliance Specialist is responsible for supporting all compliance functions at the Health Plan. Lead the company's efforts to meet ... compliance policies, audit tools, and work plan. * Lead all communication between delegated entities and compliance...Experience: . One (1) to three (3) years of Medicare Audit or Compliance experience. . Knowledge… more
- University of Washington (Seattle, WA)
- …natural beauty. **The Clinical Trials Office has an outstanding opportunity for a Billing Compliance & QC Specialist to join their team.** UW Medicine works to ... compliance with evolving regulatory requirements. The Billing Compliance & QC Specialist (payroll title: Program...and discretion in the interpretation and application of the Medicare Clinical Trial Policy, and all relevant UW Medicine… more
- Molina Healthcare (Las Vegas, NV)
- …+ Has a strong focus on MCO Quality regulatory reporting. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and ... plan and requires experience within that space. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one… more
- State of Montana (Helena, MT)
- …$1.50 an hour base pay increase effective July 1, 2024. **Title:** * Compliance & Communications Specialist (00543)* **Location:** *Helena* **Requisition ID:** ... the development and implementation of consistent program and financial compliance reviews of services delivered under the Older Americans...educate the public on issues impacting seniors as the lead host of the Aging Horizons television show. As… more
- Molina Healthcare (Las Vegas, NV)
- …Quality Interventions and Quality Improvement Compliance . + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality… more
- Illumination Foundation (Stanton, CA)
- …Orange County, Los Angeles County and the Inland Empire. Job Description The Lead Housing Specialist is responsible for tenant selection, lease generation, ... property owner relations, and housing program compliance . The pay range for this position is $26.00...Suite (Outlook, Word, Excel, Teams). + Understanding of MediCal, Medicare , and continuum of care homeless services + Understanding… more
- Bassett Healthcare (Little Falls, NY)
- …by leadership. Follows hospital and departmental policies and procedures related to compliance to assure current Medicare regulations are upheld as indicated ... the Medical Director of Respiratory Care Services, the Respiratory Specialist is responsible for assisting in the development, implementation,...required to be a member of a committee and lead and take ownership of a PI project. In… more
- Trinity Health (Sioux City, IA)
- …patient safety, and minimizes liability exposure. The specialist role is a lead resource in the Centers for Medicare and Medicaid Services (CMS) regulatory ... Purpose** The purpose of the Accreditation and Risk Management Specialist is to facilitate regulatory and risk management activities,...that ensures compliance , enhances… 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 ... **Employment Type:** Part time **Shift:** **Description:** Patient Financial Specialist I ensure the complete and accurate registration of patients in the Emergency… more
- Trinity Health (Newtown, PA)
- …**Description:** Trinity Health, Mid-Atlantic, is looking for an Insurance Verification Specialist to join our team! Employment Type: Full-time Schedule: 1FTE, ... (weekly evening shift assignment will be remote) The Insurance Verification Specialist is responsible for obtaining and verifying accurate insurance information,… more
- HCA Healthcare (St. Petersburg, FL)
- …reference for team members + Research Patient Visit History to ensure compliance with Medicare rules, verify insurance information Qualifications for insurance ... organization that invests in you as a(an) Medical Office Specialist ? At HCA Florida Heart Institute, you come first....experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent… more
- Marshfield Clinic (Iron Mountain, MI)
- …most exciting missions in the world!** **Job Title:** Patient Experience Specialist **Cost Center:** 301081225 Patient Experience **Scheduled Weekly Hours:** 40 ... States of America) **Job Description:** **JOB SUMMARY** The Patient Experience Specialist works to identify and implement patient experience improvement activities… more
- ProMedica Health System (Evansville, IN)
- …685 employees dedicated to serving their health plan members. Paramount offers Medicare Advantage and Marketplace Exchange health plans for individuals and families. ... by the National Committee for Quality Assurance (NCQA) for their HMO and Medicare Advantage products. In addition, Paramount has a full complement of insurance… more
- Sumitomo Pharma (Los Angeles, CA)
- …motivated, and experienced individual for the position of **MSPEC** Portfolio Specialist . The successful candidate will be responsible for compliantly driving ... pharmaceutical environment. **Key Core Competencies** + Significant customer (PCP and specialist ) knowledge and understand the business channels and the business… more
- Molina Healthcare (AZ)
- …* Will create actionable HEDIS data and analytic insights. * Acts as a lead specialist to provide project-, program-, and / or initiative-related direction and ... will require occasional travel to provider offices. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or more of these… more
- UTMB Health (League City, TX)
- …Obtains and documents information required for third party reimbursement. . Ensures compliance with Medicare and third-party coverage. . Communicates with ... (F) Patient Services Specialist II - VL Surgical Specialties Clinic **League...services for new and returning patients. **ESSENTIAL JOB FUNCTIONS:** ** Lead Responsibilities** . Ability to function as a team… more
- Cleveland Clinic (Mayfield Heights, OH)
- …healthcare organizations in the world. The Safety and Quality Patient Experience Specialist II (SQPE) leads safety, quality, and experience work at our Cleveland ... Clinic Main Campus. The Specialist coordinates and implements improvement initiatives. The focus of...standards. * Coordinating with cross functional stakeholders to ensure compliance with all standards and favorable performance on safety,… more
Related Job Searches:
Compliance,
Compliance Lead,
Compliance Medicare Specialist,
Compliance Specialist,
Lead,
Lead Compliance Specialist,
Medicare,
Specialist