- Point32Health (Canton, MA)
- …business performance needs of each market. All responsibilities extend to any new Medicare markets should Point32Health choose to expand its footprint in the future. ... questions that may arise during desk review, review of Medicare Plan Finder (MPF) for accuracy, etc. + Support...business functions, etc. + Oversee or collaborate with Product Specialist to manage Benefit Adjudication Committee meetings and other… more
- Marshfield Clinic (Marshfield, WI)
- …of Security Health Plan's corporate goals, brand, market position and regulatory compliance . The Marketing & Communications Specialist establishes and ... to support the most exciting missions in the world!** **Job Title:** Marketing/ Communications Specialist (Hybrid/Remote within SHP Service Area) **Cost Center:**… more
- CareOregon (Portland, OR)
- Job Title Compliance Specialist Requisition # 24592 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Compliance Manager ... you to occasionally go into the Downtown Portland office. Job Summary The Compliance Specialist is responsible for supporting the administration of compliance… more
- New York State Civil Service (Thiells, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...in Canada AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if… more
- MetroLink (Los Angeles, CA)
- Communications Coordinator Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4713717) Apply Communications Coordinator Salary See Position ... 91767, CA Job Type Represented - CBA Job Number 23-2400146 Department Communications Opening Date 11/12/2024 Closing Date Continuous + Description + Benefits +… more
- AdventHealth (Bolingbrook, IL)
- …insured and, if so, gathers details (eg, insurer name, plan subscriber) + Performs Medicare compliance review on all applicable Medicare accounts in order ... maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances… more
- AdventHealth (Manchester, KY)
- …insured and, if so, gathers details (eg, insurer name, plan subscriber) * Performs Medicare compliance review on all applicable Medicare accounts in order ... maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances… more
- AdventHealth (Altamonte Springs, FL)
- …insured and, if so, gathers details (eg, insurer name, plan subscriber) . Performs Medicare compliance review on all applicable Medicare accounts in order ... maintaining a working relationship with clinical partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 1 (NY HELPS) -90205 Occupational Category Other Professional Careers Salary Grade 18 ... (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1, G-18.Transfer: Current NYS employee with one year or more of… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Job Family:** Technical Documentation **Skills:** Adobe Acrobat,Microsoft Office,Section 508 Compliance **Experience:** 5 + years of related experience **Job ... into opportunity. And our work depends on a** **508 Document Remediation Specialist / Technical Writer** **joining our team remotely to support the** **Centers for… more
- 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
- DiPasquale Moore (Kansas City, MO)
- …and Record Keeping: * Maintain accurate and organized records of all lien-related communications and documentation. * Ensure compliance with firm policies and ... Health Insurance Lien Specialist / Administrative Support Kansas City, Missouri Competitive...related to health insurance and their liens, including Medicaid, Medicare , and ERISA. This role is crucial in ensuring… more
- Aspen Dental (Springfield, IL)
- …current needs, we have an exciting opportunity to join our team as a Contract Specialist . The Contract Specialist plays a vital role within our Payor Strategy ... on escalated contractual issues in addition to resolution of high-level compliance and customer-related concerns. + Monitor contract performance and other provisions… more
- Johns Hopkins University (Middle River, MD)
- The Pathology Department is seeking a **_Coding Specialist III_** to be responsible for understanding all aspects of coding, quality assurance and compliance ... Knowledge_ + Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. + Works closely with Office of… more
- VNS Health (Manhattan, NY)
- …Works with all parties to address and resolve discrepancies to reduce financial and compliance risks to the plan. + Monitors Medicare Part D Reconciliation ... membership. + Monitors processing of membership activities in order to confirm compliance with CMS and DOH guidance. Reviews Membership Files to validate adherence… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Patient Access Specialist , Team Lead **Cost Center:** 101361274 Registration-Acute-MFD Reg **Scheduled Weekly ... (United States of America) **Job Description:** **JOB SUMMARY** The Patient Access Specialist Team Lead serves as an initial contact for patients and customers,… more
- LA Care Health Plan (Los Angeles, CA)
- …for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization...the referral determination status. Generates approval, modification and denial communications , to include member and provider notification of referral… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …required are general computer skills, typing skills and a working knowledge of Medicare Compliance , OSHA and HIPAA. Responsibilities include: + Posting payments, ... services. We are recruiting for the following position(s): Billing Specialist I, II or III - Posting #26048 Hourly...and timely processing of all third party insurance, Medicaid, Medicare , Private Pay, and special programs. This position will… more
- Johns Hopkins University (Middle River, MD)
- We are seeking a **_Coding Specialist II_** responsible for understanding all aspects of coding, quality assurance and compliance with Federal payer ... Knowledge_ + Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. + Works closely with Office of… more
- University of Washington (Seattle, WA)
- …**has an outstanding opportunity for a** **_Temporary>_** **Clinical Trials Budget Specialist ** **to join their team!** The Central Admin Clinical Trials Budget ... Specialist is responsible for clinical research budgeting and revenue...investigator initiated and industry sponsored clinical trials, ensuring regulatory compliance and fiscal accountability. This position is also responsible… more