- Novo Nordisk Inc. (New York, NY)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... experience working in one or more of the following areas preferred : Pharmaceutical/Healthcare, Sales, Consulting, Customer Service or Military Intermediate computer… 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 ... experience working in one or more of the following areas preferred : Pharmaceutical/Healthcare, Sales, Consulting, Customer Service or Military Intermediate computer… more
- Presbyterian Healthcare Services (Albuquerque, NM)
- Transfer Center Nurse Specialist -FT at Presbyterian Healthcare Services summary: The Transfer Center Nurse Specialist coordinates inpatient bed assignments and ... timely admissions. Overview: Presbyterian is seeking a Transfer Center Nurse Specialist The Transfer Center Coordinator is responsible to coordinate/inpatient bed… more
- VNS Health (Brooklyn, NY)
- …Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with ... findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. Collaborates with patients, families,… more
- LocumTenens (Spencer, IA)
- …a focus on all ages but accepting 18+. The ideal candidate is Board Certified ( preferred ), holds an active MA license and DEA, and is already enrolled in Medicare ... algorithm Rapid credentialing with Axuall Digital Wallet Concierge support with a dedicated clinician deployment specialist Digital hub for assignment details 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
- 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
- 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 ... + Proficient computer skills and knowledge of Microsoft Office ** Preferred Qualifications** + 1 to 2 years Medicare...** Preferred Qualifications** + 1 to 2 years Medicare sales experience + Medicare call center… more
- Ochsner Health (New Orleans, LA)
- …in applying and improving compliance policies, procedures and processes. Perform Medicare Coverage Analysis (MCA) for sponsored research projects. Configure studies ... change at the company's discretion. **Education** Required - Bachelor's degree. Preferred -Advanced degree in healthcare or related field. **Work Experience**… 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
- 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
- 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
