- Novo Nordisk Inc. (Traverse City, MI)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Requirements, Step Therapy, Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to… more
- Walworth County (Elkhorn, WI)
- Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 ... Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, … more
- HCA Healthcare (Nashville, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Medicare Specialist for our team to ensure that we continue to ... we do. We want you to apply! **Job Summary and Qualifications** The Medicare Specialist will be responsible for all aspects of Medicare receivable… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Medicare Exhaust Specialist ** **ON-SITE** **Starting Hourly Rate $20 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our ... after Medicare benefits are exhausted. + Once patient determined to be Medicare Exhaust, specialist files Medicare part A and part B claims to … more
- BroadPath Healthcare Solutions (Kapolei, HI)
- …**Fast-track your future.** In just 7 weeks, you'll go from trainee to licensed Medicare Specialist + **Medical and 401(k) benefits** are available after a ... **Overview** **Launch Your Healthcare Career - No Experience Needed** ** Medicare Sales & Enrollment Specialist ** **Location: The Hive, powered by BroadPath in… more
- TEKsystems (Chesapeake, VA)
- Medicare Patient Account Specialist You'll enjoy Full Time Day Shift Hours - Monday-Friday 8:00am-4:30pm for 2-4 weeks of training (after training can establish ... healthcare provider in the area A day in the role . Submit Medicare / Medicare Advantage plan claims both electronic and paper claims (UB-04 and 1500) to… 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 ... with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC),… more
- BroadPath Healthcare Solutions (Salem, OR)
- **Overview** **Launch Your Healthcare Career - No Experience Needed** ** Medicare Sales & Enrollment Specialist ** **Location: The Hive, powered by BroadPath in ... **What You'll Learn and Do** + Guide prospective members through their Medicare options with clarity and care + Enroll customers into health plans… more
- Wider Circle (Los Angeles, CA)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their needs....Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to connect with… more
- PruittHealth (Norcross, GA)
- …PURPOSE:** Compilation and verification of required third party documentation for all Medicare bad debt claims on an annual cost reporting basis. Calculation of ... allowable Medicare bad debt claims based on third party documentation...2. Validate and document each paid, adjusted, and/or denied Medicare Part A coinsurance crossover claim on each remittance… more
- BlueCross BlueShield of North Carolina (NC)
- …complex coding patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** + Analyzes necessary documentation, ... coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses all resources...related field + Certified Professional Coder **Bonus Points** + Medicare coding and auditing experience **What You'll Get** +… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is eligible for… more
- Adecco US, Inc. (Monroeville, PA)
- …Experience and Skills:** + 1 year **of medical billing experience** ( Medicare experience preferred). + Strong computer skills, including proficiency in **Microsoft ... Office Suite** . + Able to work **on site** in Monroeville, PA every other Tuesday and Thursday In this role, you'll support the pharmacy revenue cycle by assisting with insurance verification, billing, compliance, and customer service. You'll play a key part… 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
- 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
- PruittHealth (Norcross, GA)
- …for all assigned locations. This position functions within a team environment and under general supervision. Successful individuals manage a volume of work as ... **JOB PURPOSE:** Supports the delivery of all Insurance billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing services are timely, accurate, and allow for appropriate reimbursement. Conducts all claims-related… more
- Molina Healthcare (Omaha, NE)
- …PST hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing and resolving ... with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research… more
- NTT DATA North America (Pittsburgh, PA)
- …accurate and timely customer support to ensure successful member enrollment for Medicare services. The Enrollment Support Specialist will work closely with ... overall sourcing strategy. NTT DATA Services currently seeks a **Associate Eligibility Specialist ** to join our team in **Pittsburgh, PA** . Associate Eligibility … more
- Sea Mar Community Health Centers (Seattle, WA)
- …by contracted entities such as Accountable Communities of Health and Medicaid/ Medicare organizations. + The TOC Integration Specialist must maintain the ... a mandatory COVID-19 and flu vaccine organization Transition of Care Integration Specialist - Posting #27558 Hourly Rate: $27.32 Position Summary: Sea Mar Community… 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
