- Alive Hospice, Inc. (Nashville, TN)
- Description Revenue Cycle Specialist ( Medicare ) Full Time Location: Nashville, TN Status: Regular Full Time Days: Monday - Friday Hours: 40/week Are you a ... in the DDE system on a regular basis. Post Medicare PIP remittance advices through Clearinghouse auto post or...billing. Notifies the Dept. Director of any problems with claims or processes. Assists other Revenue Cycle Specialist… more
- Creative Financial Staffing (Berne, IN)
- …services. Responsibilities of the Medical Billing Specialist : Prepare and submit claims to Medicare and Medicaid in compliance with their billing guidelines ... : We are seeking a detail-oriented and experienced Billing Specialist with extensive knowledge of Medicare and...rejections. Collaborate with the billing team to ensure all claims are processed efficiently. Stay up-to-date with Medicare… more
- Nesco Resource (Bethesda, MD)
- Job Summary The Claims Specialist -Appeals assesses and facilitates ongoing support for Government Solutions (SGS) Claims OperationsResponsibilities include ... assessing and handling appeals; serves as the subject matter expert for claims appeals; and to serve as the liaison between claims operation and the client.… more
- Everence (Goshen, IN)
- …benefits for coverage of proposed services.Answer inquiries regarding the status of claims payment for all Everence health products.Research and assist in resolving ... policy and strive to retain membership.Provide coverage options for Medicare Supplement products including pricing.Maintain an understanding of Everence third-party… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …with a lower caregiver-to-patient ratio than other providers.The AR Specialist will provide continual and accurate documentation regarding eligibility, ... all primary payments and denials for accuracy as well as sending out initial claims , corrected claims and appeals.Starting pay: $23.00/hr. This position is for… more
- DivIHN Integration Inc (Orlando, FL)
- …one of our Talent Specialists Meghna at 224 369 4230 Title: Medical Billing Specialist Location: Orlando, FL Duration: 5 Months Room for OT on weekends when needed ... read an explanation of benefits (EOB). Analytical skills are crucial for a collections specialist . Need to be able to use various tools and systems. Problem solving… more
- Mindlance (Port Graham, AK)
- …the team verifies all the information necessary to properly submit clean claims to Medicare , Medicaid, Veterans Administration, and Commercial Insurance. Reviews ... 3/5 Skills: A minimum of 3 years of experience in Commercial, Medicaid, Medicare Part B/Primary Care billing; Medical Billing or coding certification from either of… more
- Prestige Staffing (Atlanta, GA)
- Physician Insurance Follow-up Specialist This is a great facility that allows culture and growth potential. This facility is looking for a medical biller who can ... payments. Patient collections calls. Follow- up with insurance carriers regarding denied claims . Able to interpret EOBs from all commercial carriers including … more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims ... member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to...RxCLAIM + Experience in PBM industry + Experience with Medicare Part D + Experience using Microsoft Office products,… more
- Guidehouse (Lewisville, TX)
- …**Clearance Required** **:** None **What You Will Do** **:** The **Team Lead - Medicare Specialist ** will assist in overseeing the daily operations of assigned ... Chris Rivera (Manager, Talent Acquisition) at ###_** + **Strong Medicare emphasis** + Assisting team members both onshore and...**What Would Be Nice To Have** **:** + Strong Medicare background + Demonstrated proficiency in relevant revenue cycle… more
- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary Job Description Medicare Part D Specialist is responsible for coordinating and performing ... D programs, this position also coordinates member-centered activities related to the Medicare pharmacy and Stars programs. This position works with internal and… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …implementation of policies related to claims processing and system work. Perform Medicare claims processing, claims reviews, and the adjudication of ... (CMMI), Business Services Group (BSG). As a Health Insurance Specialist ( Claims Processing & Systems), GS-0107-13, you... claims to administer and monitor contracts with Medicare contractors. Review and provide analysis for claims… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… more
- Houston Methodist (Katy, TX)
- Medicare compliance experience is preferred** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ... (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with Houston Methodist's Corporate Central… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …will be required to have advanced knowledge of current Medicaid and optionally Medicare claims and billing processes. Employee must have strong verbal and ... Medicaid Accountant 3-Medicaid Claims and Reimbursement Specialist Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4541586) Apply Medicaid… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are.... + Maintain current understanding and application of all Medicare and state Medicaid compliance requirements regarding avoidance of… more
- PruittHealth (Norcross, GA)
- …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 follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring … more
- BrightSpring Health Services (Uniondale, NY)
- …billing to eliminate financial risks + Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party ... retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of… more
- National Health Care Associates (Marlborough, CT)
- …triple check to review + Correct all skilled/Part B payers as needed + Coordinate with Medicare Specialist when claims are ready for Core Submission for ... Medicare A/B. + Monthly review of Medicare Common Working File for all Rehab B patients...patients for changes/updates + Track and review all managed claims for follow up through payment + Post managed… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Documentation Specialist II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: ... to support the safety net required to achieve that purpose. Job Summary The Claims Documentation Specialist II is responsible for creating, editing and updating… more
