- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... appeals, follow-up, financial assistance and customer service. **Duties of a Revenue Specialist may include the following, but are not limited to:** + Prepare… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert… 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 accurately ... basic insurance issues and escalate complex cases to the Senior Insurance Specialist or Manager. + Communicate authorization and insurance status clearly and… more
- Commonwealth Care Alliance (Boston, MA)
- …Network Strategic Initiatives & Data Management, the Provider Data Outreach Specialist is responsible for executing outbound call campaigns to healthcare providers ... preferred. - Familiarity with medical terminology, preferred. - Previous experience Medicare and Medicaid strongly preferred Required Knowledge, Skills & Abilities… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …writing of scheduled medications (must obtain within 1 year of employment) Medicare Billing Number (NPI-National Provider Identifier) - (must obtain within 6 months ... of employment) Certification: Nurse Practitioner, National (must obtain within 1 year of employment) Successfully complete the credentialing process through Medical Staff Services Successfully complete the requirements of the delegations of Services for the… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing clinical ... HCPCS and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding,… more
- Stony Brook University (Stony Brook, NY)
- Specimen Receiving/Reference Laboratory Specialist **Position Summary** At Stony Brook Medicine, a **Specimen Receiving/Reference Laboratory Specialist ** in the ... the safety of all lab personnel. **Duties of a** **Specimen Receiving/Reference Laboratory Specialist ** **may include the following but are not limited to:** + As… more
- Emanate Health (Covina, CA)
- …codes submitted for Medicare and Covered CA lines of business. Coding specialist will be responsible to review medical records and claims data to ensure external ... Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan,...Must have at least one year of experience in Medicare HCC program within IPA, HMO, or clinic setting.… more
- Commonwealth Care Alliance (Boston, MA)
- …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Familiarity with and full… more
- Tidelands Health (Myrtle Beach, SC)
- …people live better lives through better health!** **Supervisor Provider Coding Specialist ** Are you passionate about quality and committed to excellence? Consider ... mission to life each day. **A Brief Overview** The Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager, is responsible for… more
- WesleyLife (Johnston, IA)
- …supportive, and rewarding work environment. **A Typical Day for a Medical Billing Specialist at our Network Support Center:** + Manage Third Party billing across all ... ensuring accurate and timely submission of claims. + Stay updated on Medicare /Skilled billing regulations and implement necessary process changes for compliance. +… more
- Seattle Children's (Seattle, WA)
- ECMO Specialist , Registered Nurse (0.75FTE, Nights) We're hiring an ECMO Specialist (Registered Nurse), to support ECMO needs and work in our ICU. * $15,000 sign ... premium when assigned to a pump as an ECMO specialist * In this role you will: Operate, monitor and...College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses performing moderately… more
- Luke Staffing (Butner, NC)
- **MEDICAL BILLING CODING SPECIALIST ** **We encourage Military Veterans and Military Spouses to apply** **SITE OF SERVICE:** DOJ (Department of Justice Prison) - ... (RHIA) . Registered Health Information Technician (RHIT) . Certified Coding Specialist (CCS) . Certified Coding Assistant (CCA) . Certified Professional Coder… more
- Tidelands Health (Murrells Inlet, SC)
- …and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ... Notice, AOB (Assignment of Benefits), Medicare Important Messages etc. Provides information and/or handouts and answers questions on patient rights and… more
- WesleyLife (Pella, IA)
- …growth and purpose. Come be a part of the revolution! ? **About the Role: MDS Specialist ** As a MDS Specialist , you'll play a key role in supporting the health, ... experience of the residents at WesleyLife **As a MDS Specialist , you will:** + Serve as a Clinical Resource...the state RAI's according to mandated timetable. + Follow Medicare guidelines to complete MDS assessments for skilled residents… more
- Tidelands Health (Georgetown, SC)
- …and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ... Notice, AOB (Assignment of Benefits), Medicare Important Messages etc. Provides information and/or handouts and answers questions on patient rights and… more
- National Health Care Associates (Wethersfield, CT)
- …Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state ... governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of the aged and… more
- Cordis (Trenton, NJ)
- …the people behind the people who keep saving lives.** The **Clinical Closure Sales Specialist ** is focused on the support of the Cordis closure business within a ... that are inclusive, equitable and welcoming. Cordis customers that receive Medicare /Medicaid funding may be subject to federal COVID-19 workforce vaccination… more
- Lyric (Newtown Square, PA)
- …or American Health Information Management Association (AHIMA) Certified Coding Specialist -Physician (CCS-P) + Working knowledge of pre-payment editing and payment ... demonstrated understanding of US health insurance payers including Commercial, Medicare , Medicaid (FFS and MCOs), third-party claims processing (including paper… more
