- 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
- Robert Half Accountemps (Fort Wayne, IN)
- Description We are looking for a detail-oriented and organized Medicare Billing Specialist to join our team in Fort Wayne, Indiana. This role involves managing ... Medicare , Medicaid, and commercial insurance claims with precision and...needs. Responsibilities: * Prepare and submit accurate claims to Medicare , Medicaid, and third-party insurance providers, both electronically and… more
- Cleveland Clinic (Cleveland, OH)
- …of the most respected healthcare organizations in the world. As a Research Medicare Coverage Analysis Specialist , you will be responsible for determining ... role, you will report to the Director of Research Medicare Coverage Analysis and ensure compliant research billing practices...the opportunity to work as a team member providing Medicare Coverage Analysis for a variety of research projects… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... Required: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification + A Certified Risk Adjustment Coder (CRC) +… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... as necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance process.… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Specialist , you will be responsible for: + Serving as a Subject Matter Expert (SME) ... more years of health plan experience, highly desired + Knowledge of Medicare Advantage, STARS/HEDIS program, and NCQA technical specifications + Knowledge and… more
- Molina Healthcare (Oshkosh, WI)
- …for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved ... product features and differences. + Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale Agents, Benefit ... Navigators, and Medicare Support Specialists are conducting activities that are in...+ Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct Reports: Director Training… more
- Cedars-Sinai (Los Angeles, CA)
- …in other revenue cycle functions and provide back-up coverage. This Revenue Cycle Specialist II is responsible for Medicare Claim Edits and employee work ... and/or collections experience required. Four years' experience or more preferred. Medicare Claim Edits and employee work comp follow-up experience preferred. **Why… 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) ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
- Hartford HealthCare (Farmington, CT)
- …Up/Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of monitoring ... Corp.* **Title:** *Accts Receivable Team Lead / PA Non Medicare Billing* **Location:** *Connecticut-Farmington-9 Farm Springs Rd Farmington (10566)* **Requisition… more
- Ventura County (Ventura, CA)
- …for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related duties as required. Medical ... Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing … 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...(ie heart, lung, liver, kidney, pancreas, etc.) for commercial, Medicare , hospital-based, provider-based inpatient and outpatient transplant accounts to… more
- MetroLink (Los Angeles, CA)
- Social Media Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5183448) Apply Social Media Specialist Salary $63,277.00 - $98,080.00 ... Description + Benefits + Questions SUMMARY The Social Media Specialist supports and enhances positive exposure and corporate image...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… 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
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for...ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care **Department** : MNS Managed Care… more
- New York State Civil Service (NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... Code 00000 Duties Description Primary Duties and ResponsibilitiesAs a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- New York State Civil Service (Binghamton, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade 35 ... Code 13905 Duties Description Primary Duties and Responsibilities:As a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP Yes Agency Mental Health, Office of Title Medical Specialist 2 (NY HELPS), Kingsboro Psychiatric Center - Outpatient, P26127 Occupational Category Health ... is recruiting a physician to serve as a Medical Specialist 2. Candidates from outside or within State Service...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
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