• Hospice Physician PRN

    BAYADA Home Health Care (Tucson, AZ)
    …and shall provide current proof of such registration upon Hospice's request. 6. Medicare and Medicaid Eligibility: Hospice Physician is and shall always remain ... a qualified Medicare and Medicaid provider. Hospice Physician represents and warrants that they have never been...care on a timely basis in accordance with applicable Medicare hospice regulations. Hospice Physician shall ensure… more
    BAYADA Home Health Care (11/23/24)
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  • Family Medicine without OB Physician

    HCA Healthcare (St. Petersburg, FL)
    …team is to provide a comprehensive, coordinated model of care to a mostly Medicare aged population. The Physician primarily manages the Geriatric - aged ... private practice is looking to add a Family Medicine Physician to their group located in St. Petersburg, Florida....their group located in St. Petersburg, Florida. **Summary** The Physician practices in a clinic, hospital or long term… more
    HCA Healthcare (10/15/24)
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  • (Hybrid / Remote) Integrity & Compliance…

    Trinity Health (Livonia, MI)
    …efforts for professional services which relies on a thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, ... professional services which relies on a thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, National Correct… more
    Trinity Health (11/15/24)
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  • Medicare Biller

    Trinity Health (Atlanta, GA)
    …+ Ability to research and resolve payment discrepancies. + Experience in physician offices with Medicare /Medicaid exposure is a plus. **Position Highlights ... regarding billing and claim processing. + Facilitate provider enrollment with physician staff. + Maintain the integrity and confidentiality of patient financial… more
    Trinity Health (10/30/24)
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  • (Remote/Hybrid) Integrity and Compliance…

    Trinity Health (Livonia, MI)
    …efforts for professional services which relies on a thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, ... knowledge base is preferred. 3. Must have an in-depth knowledge of Medicare and Medicaid documentation, coding, and billing regulations for applicable service… more
    Trinity Health (09/28/24)
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  • Authorization Specialist

    WMCHealth (Valhalla, NY)
    …Organizations in order to obtain ongoing authorization. + Ensure completion of Medicare Physician Certification according to regulatory timeline. + Collects ... inquiries and provides information. + Serves as liaison between the physician 's offices, patients, case management department andPatient Registration. + Follows up… more
    WMCHealth (11/07/24)
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  • Director, Market Innovation

    American Academy of Family Physicians (Leawood, KS)
    …related market-centric topics including but not limited to **fee-for-service payment** ( Medicare Physician Fee Schedule, RUC, CPT, etc.) **value-based payment** ... Family Physicians and its chapters proudly represent more than 130,000 family physician , resident, and medical student members. Family physicians play a critical… more
    American Academy of Family Physicians (09/28/24)
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  • Healthcare Resource Specialist Full-Time Days…

    Trinity Health (Boise, ID)
    …knowledge of medical terminology and the healthcare system (insurances, Medicare , Medicaid, physician office operations) preferred. **ESSENTIAL FUNCTIONS:** ... collaborate with multiple clinics to best utilize resources while accommodating physician preference and patient needs consistent with Saint Alphonsus values and… more
    Trinity Health (11/01/24)
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  • Access Team Specialist Full-Time Days

    Trinity Health (Boise, ID)
    …knowledge of medical terminology and the healthcare system (insurances, Medicare , Medicaid, physician office operations) preferred. **ESSENTIAL FUNCTIONS:** ... collaborate with multiple clinics to best utilize resources while accommodating physician preference and patient needs consistent with Saint Alphonsus' values and… more
    Trinity Health (11/26/24)
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  • Sr. Compliance Auditor Trainer

    Johns Hopkins University (Baltimore, MD)
    …billing. + Keeps current with third party regulations with emphasis on Medicare billing, teaching physician regulations, Current Procedural Terminology, ICD-9-CM ... **Trainer** who will provide on-going training and support to physicians, non- physician providers, professional fee billing staff, clinic staff, administrators, and… more
    Johns Hopkins University (10/15/24)
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  • Medicare Clinical Auditor

    Medical Mutual of Ohio (OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Working under general ... RN experience, DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** ** Medicare Clinical Auditor** + **Audits outpatient, inpatient and professional… more
    Medical Mutual of Ohio (11/15/24)
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  • Medicare Cost Reporting and Reimbursement…

    Vanderbilt University Medical Center (Nashville, TN)
    …or decision support analytics in a large healthcare environment, hospital, physician practice, third party payer, Medicare intermediary or accounting/consulting ... level decision support analytics in a large healthcare environment, hospital, physician practice, third party payer, Medicare intermediary or… more
    Vanderbilt University Medical Center (11/22/24)
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  • Medicare Nurse Reviewer

    Medical Mutual of Ohio (OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision, ... the Medicare Nurse Reviewer applies medical necessity guidelines in making...inpatient admissions, concurrent, and retrospective reviews in collaboration with physician reviewers. Applies evidence-based discharge planning so that patients… more
    Medical Mutual of Ohio (11/20/24)
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  • Senior Medicare Coverage Analyst

    Dana-Farber Cancer Institute (Brookline, MA)
    …for this position is full remote with occasional time onsite.** The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, ... insurance and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying… more
    Dana-Farber Cancer Institute (10/22/24)
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  • Clinical Services Support Specialist…

    Medical Mutual of Ohio (OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Under general ... cases/files to clinical staff (Nurse, Social Worker, Care Navigator, Physician )** **.** **Responsibilities** + **Sends and receives correspondence from various… more
    Medical Mutual of Ohio (11/16/24)
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  • Centralized Patient Logistics Registration…

    Health First (Cocoa Beach, FL)
    …accurate information is obtained and compliance requirements are met for physician orders, Medicare regulations, Hospice regulations, billing regulations, and ... billing information is added to STAR. 4. Evaluates all Medicare inpatient admissions for the need to add additional... inpatient admissions for the need to add additional Medicare coverage to the account. Escalates need for required… more
    Health First (11/21/24)
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  • Medicare Provider Performance Enablement…

    The Cigna Group (Sunrise, FL)
    …conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst's responsibilities include: + ... + Supporting the development, management and oversight of the physician / provider network in the assigned **Treasure Coast, FL...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
    The Cigna Group (10/03/24)
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  • Medicare Biller

    Insight Global (Cincinnati, OH)
    Job Description Insight Global is looking for a Medicare Biller for a contract to hire opportunity in the Blue Ash area of Cincinnati. This person will be joining a ... claims for a large health system (both in patient hospital and out patient physician claims). This person will be primarily responsible for medicare billing,… more
    Insight Global (10/01/24)
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  • Medicare Healthcare Internal Consultant…

    Vanderbilt University Medical Center (Nashville, TN)
    …Revenue Cycle, Consulting or Auditing in a Large Healthcare Environment, hospital, physician practice, third party payer, Medicare intermediary, health insurer, ... data to support analytical reporting to senior business operational leaders and physician leadership regarding: + Audit results to outside regulators, attorneys, and… more
    Vanderbilt University Medical Center (11/07/24)
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  • Medical Director- Medicare (CA)

    Molina Healthcare (Long Beach, CA)
    …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... Improvement activities. + Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends… more
    Molina Healthcare (11/21/24)
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