- R1 RCM (Salt Lake City, UT)
- …cash flows while reducing operating costs and enhancing the patient experience. As a Medicare Advantage Associate on our Revenue Recovery team, you will leverage ... your experience and expertise in complex Medicare Advantage payor methodology, payment screenings and experience maneuvering through various Patient Accounting… more
- HUB International (Cincinnati, OH)
- …position is to provide a training ground and an understanding of the Medicare and Individual Health insurance industry: you will be supporting our experienced team ... and financial services firm providing risk management, insurance, employee benefits, Medicare & individual health, retirement and wealth management products and… more
- Medical Mutual of Ohio (OH)
- …I** Working under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and ... II** Working under general supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and… more
- Lowe's (Charlotte, NC)
- …treatment to an appropriate resolution. Apply medical treatment guidelines for future Medicare -covered expenses. The candidate will work directly for a Fortune 100 ... high volume of claims per year for its US operations . The Care Manager will be responsible for medically...caseload of 65 including review of claims identified for Medicare Set-Aside. **What you will do** + Manage an… more
- Vanderbilt University Medical Center (Nashville, TN)
- …of Compliance; + Identification of best practices and control procedures over operations and/or patient care to promote regulatory compliance; + Assistance in ... audit results. Monitors new regulatory and/or billing requirement changes from Medicare Administrative Carriers and CMS websites and published guidance. Performs… more
- Trinity Health (Farmington Hills, MI)
- …Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as ... ethical, and professional behavior. **MINIMUM QUALIFICATIONS** High school diploma or Associate 's degree in Accounting or Business Administration or related field,… more
- Molina Healthcare (IA)
- …and pharmacies. + Assists with clerical services/tasks and other day-to-day operations as delegated. + Effectively communicates plan benefit information, including ... years of call center or customer service experience **Preferred Education** Associate degree **Preferred Experience** + 3-5 years; healthcare industry experience… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …only: Resident (On-Site Only) What we need The Medicare Processor Control Associate will support areas within Government Programs Operations with opening and ... stamping requests received by mail, fax, and email. The associate will need to sort the mail by area...timely to remain in compliance with the Centers for Medicare and Medicaid Services' (CMS) regulatory and timeliness requirements.… more
- CenterWell (Carson City, NV)
- **Become a part of our caring community and help us put health first** The Associate Director of MSO Operations supports the Las Vegas market. The Associate ... high level of practice satisfaction and effective management of local field teams. The Associate Director of MSO operations is a relationship manager and leader… more
- Elevance Health (Cerritos, CA)
- …health plan medical policy and Medicare Coverage Determinations. The ** Associate Medical Director, Clinical Operations ** is responsible for supporting the ... cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology, sleep… more
- Baystate Health (Springfield, MA)
- ** OPERATIONS ASSOCIATE , ICU** **Nights** Baystate Health, a nationally recognized leader in healthcare quality and safety, is looking for a Full Time ... Operations Associate to join our ICU team...Operations Associate to join our ICU team in Springfield, MA....to transfer and discharge. Explains and obtains signatures for Medicare forms. Organizes chart for Medical Records, faxes or… more
- Conviva (El Paso, TX)
- …help us put health first** Conviva is seeking a dedicated, compassionate, and experienced Associate Operations Director - who is interested in growing with the ... experiences and supporting the cultural at Conviva. **Job Functions** + The Associate Operations Director helps develop and leads implementation for staffing… more
- Baystate Health (Springfield, MA)
- ** OPERATIONS ASSOCIATE ** **Children's & Adolescents** **Baystate Health, a nationally recognized leader in healthcare quality and safety,** **is looking for a ... Part Time, Days Operations Associate to join our team in...to transfer and discharge. Explains and obtains signatures for Medicare forms. Organizes chart for Medical Records, faxes or… more
- Banner Health (AZ)
- …by including remote and hybrid opportunities. As a Government Project Programs Associate Advisor, you will call upon your Medicare regulations experience ... Arizona, Arizona **Department Name:** Sales **Work Shift:** Day **Job Category:** General Operations The future is full of possibilities. At Banner Plans & Networks,… more
- Baystate Health (Westfield, MA)
- …and safety, and home to **Baystate Noble Hospital** is looking for an Operations Associate /Monitor Technician (OA/MT) to join the Med/Surg team in Westfield, ... managing documentation, organizing patient medical record and facilitating smooth unit operations . Files appropriate patient reports and other information for their… more
- Baystate Health (Springfield, MA)
- …managing documentation, organizing patient medical record and facilitating smooth unit operations . Files appropriate patient reports and other information for their ... Prepares record prior to transfer and discharge. Explains and obtains signatures for Medicare forms. Organizes chart for Medical Records, faxes or copies records as… more
- University of Washington (Seattle, WA)
- …SCH.o Maintain and communicate policy and procedures in support of GME Finance operations .o Ensure compliance with Medicare and Medicaid regulations, which will ... UW Medicine currently has an outstanding opportunity for an ** Associate Director of Finance** , Graduate Medical Education (GME)....Single Source. + Leading annual processes core to the operations of the GME Finance Office. + Maintenance and… more
- HonorHealth (Phoenix, AZ)
- …the lifecycle of the study. The position's competencies include operations , coding/billing compliance, Medicare coverage analysis/budgeting, contracting, ... and familiarity with basic finance and accounting principles. The successful Associate Clinical Trials Operations Specialist will support business activities… more
- Conviva (Tampa, FL)
- …a part of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling a variety ... of health-related problems. The Associate Medical Director requires a solid understanding of how...state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of skill with… more
- WTW (Salt Lake City, UT)
- …The Lead Associate must be a subject matter expert in Medicare , Health Reimbursement Arrangements and the internal processes related to our business. This ... marketplace offers more than a traditional group health plan or group Medicare Advantage plan. For employers and plan sponsors the individual marketplace helps… more