- 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
- 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 ... Policy. In this role, you will report to the Director of Research Medicare Coverage Analysis and ensure compliant research billing practices by reviewing clinical… 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...required; an associate degree or certification in billing is preferred . * At least two years of experience in… 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
- 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) ... to and from contracted IPAs in Los Angeles County Preferred : + Project Management (PMP) Certification, a plus +...of health plan experience, highly desired + Knowledge of Medicare Advantage, STARS/HEDIS program, and NCQA technical specifications +… 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
- 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 ... **Education** . Minimum: High school diploma, GED or equivalent . Preferred : Associate's degree in health care administration, business management or finance… 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
- 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 ... Pacific + Description + Benefits + Questions SUMMARY The Social Media Specialist supports and enhances positive exposure and corporate image for Metrolink/SCRRA by… 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)
- …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
- Hartford HealthCare (Farmington, CT)
- …common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education ... standards and healthcare revenue cycle industry practices. The audit and education specialist will support documentation practices that comply with CMS on evaluation… more
- NHS Management, LLC (Daytona Beach, FL)
- …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
- Home Care Providers of Texas (Springfield, MO)
- Job Title: Enterprise Authorization Specialist Department: Revenue Cycle Reports To: Authorization Supervisor Employment Type: [Full-Time / Part-Time / Remote / ... Onsite] Position Summary The Home Health Authorization Specialist is responsible solely for obtaining, managing, and maintaining prior authorizations for home health… more
- Logan Health (Kalispell, MT)
- …about helping people navigate the world of healthcare insurance? As a Financial Clearance Specialist at Logan Health, you'll play a key role in ensuring our patients ... insurance companies and employers; ensure demographic data is correct. + Cross-reference Medicare accounts and coordinate benefit statuses as needed. + Determine and… 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 ... or related field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing Manager (… more
- State of Colorado (Denver, CO)
- Adult Protective Services Program Specialist (Social Services Specialist III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5181921) Apply ... Adult Protective Services Program Specialist (Social Services Specialist III) Salary $58,872.00...to the work assigned equal to six (6) years. Preferred Qualifications: + Experience in the Colorado APS program,… more
- Elara Caring (Grand Rapids, MI)
- …in Medicare /Medicaid home health care benefits, policies and procedures preferred . + Reliable transportation for in-office meetings or other reasonable requests ... in the Right Place. **Job Description:** **Engage Clinical Care Specialist ** The Engage Clinical Care Specialist is...to more than 60,000 patients each day in their preferred home setting. Wherever our patients call home and… more