• Medicare Billing and Collections…

    PruittHealth (Norcross, GA)
    …concepts, and skills; Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed. 15. Assists in orientation and ... with members of own and other teams to communicate effectively and ensure compliance with cross-team responsibilities. 17. Carries out all duties with a "Commitment… more
    PruittHealth (10/25/24)
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  • Medical Billing Specialist III/IV

    Ventura County (Ventura, CA)
    …reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related duties as ... processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance...Claim Source to follow up on accounts. Medical Billing Specialist IV is the lead level class… more
    Ventura County (10/25/24)
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  • Lead Clinical Trials Specialist

    University of Washington (Seattle, WA)
    …Program, in the Division of Hematology and Oncology, is looking to hire a Lead Clinical Trials Specialist ( Lead CTS). **POSITION PURPOSE** The Division ... protocol development, clinical research coordination, revenue cycle development, budgeting, compliance , and regulations. **Position Complexities:** The Lead CTS… more
    University of Washington (10/29/24)
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  • Patient Access Specialist , Team…

    Marshfield Clinic (Marshfield, WI)
    …to expedite and enhance the patient experience. The Patient Access Specialist Lead activities include appointment scheduling, referral completion, authorization ... the most exciting missions in the world!** **Job Title:** Patient Access Specialist , Team Lead **Cost Center:** 101361274 Registration-Acute-MFD Reg **Scheduled… more
    Marshfield Clinic (11/01/24)
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  • Sr Compliance Specialist

    CareOregon (Portland, OR)
    …for remote positions must reside in Oregon or Washington. Job Title Sr Compliance Specialist Exemption Status Exempt Management Level n/a Direct Reports n/a ... role, but you must reside in Oregon or Washington. Job Summary The Sr Compliance Specialist is responsible for supporting administration of compliance more
    CareOregon (10/30/24)
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  • Ops Compliance Specialist

    MyFlorida (Daytona Beach, FL)
    OPS COMPLIANCE SPECIALIST - 67965502 Date: Oct 28, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Agency for Persons with Disabilities Working Title: OPS COMPLIANCE SPECIALIST - 67965502 Pay Plan: Temp...facility) and nonresidential (adult day training and prevocational) setting compliance with the Centers for Medicare &… more
    MyFlorida (10/29/24)
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  • Customer Solution Center Compliance Audit…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the… more
    LA Care Health Plan (08/06/24)
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  • (Remote/Hybrid) Integrity and Compliance

    Trinity Health (Livonia, MI)
    …or all hours being remote. This role is within the Integrity and Compliance department of IAS in the professional services Center of Excellence, providing support ... for the seven elements of an effective compliance program. This role is primarily responsible for the...services which relies on a thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing… more
    Trinity Health (09/28/24)
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  • Sr Specialist , Quality Interventions/QI…

    Molina Healthcare (Columbus, OH)
    …Quality Interventions and Quality Improvement Compliance . + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality… more
    Molina Healthcare (10/27/24)
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  • Lead Human Resources Specialist

    Centers for Medicare & Medicaid Services (IN)
    …Talent Acquisition and Benefits Group (TABG), Division of Client Operations (DCO). As a Lead Human Resources Specialist , GS-0201-14, you will serve as a Team ... Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Human Capital,… more
    Centers for Medicare & Medicaid Services (10/31/24)
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  • Clinical Research Billing Specialist

    University of Washington (Seattle, WA)
    …) **This posting may be used to recruit for several Clinical Research Billing Specialist positions.** As a UW employee, you have a unique opportunity to change lives ... **The School of Medicine has an outstanding opportunity for a Clinical Research Billing Specialist to join their team.** UW Medicine works to improve the health of… more
    University of Washington (08/13/24)
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  • Associate Clinical Trials Specialist

    HonorHealth (Phoenix, AZ)
    …of the study. The position's competencies include operations, coding/billing compliance , Medicare coverage analysis/budgeting, contracting, Clinical Trial ... finance and accounting principles. The successful Associate Clinical Trials Operations Specialist will support business activities of the Honor Health Research… more
    HonorHealth (09/19/24)
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  • Mental Hygiene Program Evaluation…

    New York State Civil Service (Rome, NY)
    …Developmental Disabilities, Office for Title Mental Hygiene Program Evaluation Specialist 4-CNY DDSO Occupational Category Administrative or General Management ... or organization; reviewing organizational performance to determine the level of compliance with the standards of oversight agencies; leading, facilitating, or… more
    New York State Civil Service (10/22/24)
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  • Sr Planning and Operations Specialist

    CareOregon (Portland, OR)
    …Nevada, Texas, Montana, or Wisconsin. Job Title Sr Planning and Operations Specialist Department Medicare Exemption Status Exempt Requisition # 24639 Direct ... Reports N/A Manager Title Director, Medicare Network Performance Pay & Benefits Estimated hiring range...level. This includes an advanced understanding and ability to lead and guide the strategic deployment and operational implementation… more
    CareOregon (10/23/24)
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  • Accreditation & Risk Specialist (RN) Full…

    Trinity Health (Sioux City, IA)
    …patient safety, and minimizes liability exposure. The specialist role is a lead resource in the Centers for Medicare and Medicaid Services (CMS) regulatory ... Purpose** The purpose of the Accreditation and Risk Management Specialist is to facilitate regulatory and risk management activities,...that ensures compliance , enhances… more
    Trinity Health (09/18/24)
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  • Contract Integrity Specialist

    Intermountain Health (Murray, UT)
    **Job Description:** The Contract Integrity Specialist for Select Health is responsible for reviewing contracts and auditing systems to ensure accurate contract, ... Medicare , Medicaid and fee schedule setup, and to identify...Analysts and leadership, this position is responsible for ensuring compliance with internal policies and procedures, external regulations, and… more
    Intermountain Health (11/01/24)
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  • Healthcare Management Specialist

    Research Foundation CUNY (New York, NY)
    …the healthcare and psychosocial goals and outcomes. The Healthcare Management Specialist will ensure compliance with regulations including HIPAA, standards ... Job Title: Healthcare Management Specialist PVN ID: RF-2409-006476 Category: Managerial and Professional...Duties + Assist enrolled members with navigating health insurance, Medicare , and legal processes, provide the members with financial… more
    Research Foundation CUNY (09/27/24)
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  • Senior Provider Engagement Specialist

    Molina Healthcare (Seattle, WA)
    …goals. + Support internal Quality and VBC-related activities. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction ... education and facilitate meeting established goals. **Knowledge/Skills/Abilities** The Senior Specialist , Provider Engagement contributes to one or more of these… more
    Molina Healthcare (10/27/24)
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  • Regional Patient Access Training Specialist

    Trinity Health (Troy, NY)
    …Notification Verification and Authorization (NoVA), Point of Service Cash Collection, Medicare Compliance , and Customer Service, across numerous state and ... pertaining to the healthcare industry. Ability to read, analyze, and interpret Medicare Compliance Regulations. + Working knowledge of third-party payer… more
    Trinity Health (08/24/24)
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  • HIM Clinical Documentation Specialist

    Penn Medicine (Plainsboro, NJ)
    …future each day. Are you living your life's work? **HIM Clinical Documentation Specialist ** Job Summary: + The Clinical Documentation Specialist will be ... and other clinicians for complete and accurate documentation. The CD Specialist will utilize presentation, general instruction, and a compliant query discussion… more
    Penn Medicine (10/17/24)
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