- Novo Nordisk Inc. (Elmira, NY)
- …team and are ready to take the next step in your career with a company committed to meeting the evolving needs of patients with cardiometabolic diseases, come join ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Merck & Co. (North Wales, PA)
- Job DescriptionThe Central Contract Services (CCS) Senior Specialist will function as a vital member of the broader Integrated Account Management team focusing on ... teams to develop, implement, and execute contract strategies. The CCS Senior Specialist will also be responsible for driving continuous improvement of these core… more
- Novo Nordisk Inc. (Salinas, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Novo Nordisk Edge Selling Modelwith external customers and during company sponsored meetings: Strategic Planning- Pre-Call Planning Creates Customer Engagement-Open… 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 ensures compliance with Medicare … more
- CVS Health (Pierre, SD)
- …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local...specialized team who will focus on educating existing Medicare members on available plan offerings to help meet… 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
- Ochsner Health (New Orleans, LA)
- …Participates in audits, projects, and regulatory consultations for the company . Performs compliance related research, conducts and documents interviews, completes ... conclusions to department and organization management. Serves as resource to company employees and management in applying and improving compliance policies,… more
- Commonwealth Care Alliance (Boston, MA)
- …accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, and provider… more
- Heritage Ministries (Greenhurst, NY)
- Job Description The Facility Financial Specialist is responsible for welcoming and directing new residents and their families on the day of admission. He/she is ... face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage...if needed. For private pay situations, will collect the company fee for this service. Will keep a standardized… 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...as the need arises. + Educates CSHS employees on company policies and procedures regarding access to care, the… more
- Sumitomo Pharma (Sarasota, FL)
- Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the US (Sumitomo Pharma America, Inc.), focused on addressing patient ... dynamic, highly motivated individual for the position of **Multi-Specialty Portfolio Specialist /Associate Portfolio Specialist .** This position is being posted… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing...and Compensation: + Employee bonus program. + 401(k) with company match up to 4% and an additional … more
- Providence (AK)
- **Description** **Charge Description Master Specialist \*Remote-Most states eligible As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the ... CDM Specialist shall ensure that the Chargemaster (CDM) is consistent...with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- …$18.00 per hour Position Details Position: Operations Specialist (Medical Records Specialist ) Join a Company That Puts People First! Aveanna Healthcare is ... Operations Specialist / Administrative Assistant ApplyRefer a FriendBack Job...Wellbeing Top 100 Companies of 2024 + Named Best Company for Work-Life Balance, Happiest Employees, Best Culture, and… more
- Publix (Lakeland, FL)
- **35078BR** **Position Title:** General Liability Attorney Represented Claims Specialist **Department:** Risk Management **Location:** Lakeland, FL **Description:** ... The General Liability Attorney Represented Claims Specialist (Claims Specialist ) adjusts non-litigated general liability and fleet claims with both non… more
- Bassett Healthcare (Little Falls, NY)
- …with the Medical Director of Respiratory Care Services, the Respiratory Specialist is responsible for assisting in the development, implementation, and ... administration of all policies and procedures. The Respiratory Care Specialist performs all roles and responsibilities of a Respiratory Therapist. The Respiratory… more
- Gentiva (Orlando, FL)
- …**Expand Access. Lead Markets. Transform Care.** We are seeking a RN Executive Director Specialist - Hospice to join our leadership team. This role acts as the ... the delivery of high-quality services across multiple sites. The Executive Director Specialist RN will provide leadership and stability by filling in across markets,… more
- US Physical Therapy (Bend, OR)
- ** Company Description** **Job Description** The Insurance Verification & Authorization Specialist plays a vital role in ensuring that patient services are ... basic insurance issues and escalate complex cases to the Senior Insurance Specialist or Manager. + Communicate authorization and insurance status clearly and… more
- Access: Supports For Living (Middletown, NY)
- … Specialist is a key position in the financial management of the company . The Senior Billing Specialist supports all billing and revenue management throughout ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Oct...portals. + Maintain a working knowledge of OMH, OASAS, Medicare , Medicaid, Medicaid Managed Care and other payers' billing… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist ... requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided through multiple… more
