- Novo Nordisk Inc. (Denver, CO)
- …Relationships Externally, the DCS I maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Lundbeck (Chicago, IL)
- …internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic ... pharmacy benefit market Experience working with high influence customers in physician clinics, integrated health systems, infusion centers and alternative sites of… more
- 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
- 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
- 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
- Athena Health Care Systems (Granby, CT)
- …be knowledgeable in the Medicare A process, including coordination of Medicare meetings, initiating physician cert/recerts, issuing of Medicare denial ... + Other duties and responsibilities as directed. + Attend and coordinate the Medicare Meetings. Specific Requirements: + Must be able to read, write, speak and… more
- 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
- Dana-Farber Cancer Institute (Brookline, MA)
- The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant ... insurance and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying… more
- RWJBarnabas Health (Oceanport, NJ)
- Quality Officer III ( Medicare )Req #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:HIM - Coding ... accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking and a higher level skill set… more
- Home Care Now (Clearwater, FL)
- …the DON and the physician 's plan of care and orders * Complete Medicare SOC and Oasis E documentation * Follow physicians orders and ensure compliance with plan ... Home Care Now is hiring Registered Nurses for Medicare Admissions & Visits for PER DIEM positions...Visits for PER DIEM positions serving patients Pinellas County. Medicare Oasis E and SOC admissions experience required. Set… more
- Home Care Now (Clearwater, FL)
- Home Care Now is hiring LPN's for Medicare /Skilled Visits for PER DIEM positions serving patients in Pinellas county. Must have HOME CARE EXPERIENCE / MUST HAVE ... MEDICARE KNOWLEDGE performing patient visits in the home. Pay...Drug-free Workplace* Responsibilities * Perform patient care following the physician 's plan of care and orders * Accurately report… more
- 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
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... field) or equivalent experience/training + Five or more years of experience with physician billing and/or coding, required + Three or more years of recent experience… more
- UCLA Health (Los Angeles, CA)
- …this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running processes/jobs ... more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5...data visualization tools, and Microsoft Office * Knowledge of physician and facility billing practices, appropriate CPT coding initiatives,… more
- VNS Health (Manhattan, NY)
- …rounds for products, as applicable. Performs audits of other UM/CM physician peer reviewers.* Provides leadership to the Quality Improvement Program and ... Investigation Unit on issues related to Fraud, Waste, and Abuse of Medicare /Medicaid services.* Collaborates with pharmacy services to review PBM activities and… more
- CVS Health (Tallahassee, FL)
- …issues related to network providers, performs medical chart reviews, and conducts physician peer-to-peer discussions as needed for the development of ICPs. * ... work schedule to meet business needs * 3-5 years of Managed Care experience; Medicare highly preferred * 3-5 year of Case Management experience * Ability to work… more
- BrightSpring Health Services (Arlington, TX)
- …the prior authorization processes + Makes outgoing calls to Facilities, Plans, and Physician 's offices as needed to obtain approvals + Works with Client Billing ... Service Offices, Pharmacy Directors, customers and prescription drug plans to effectively communicate and resolve customer issues + Performs other tasks as assigned + Achieves productivity goals with regard to calls/claims per hour as determined by the… more
- University of Utah (Salt Lake City, UT)
- …and to execute any documents necessary to affect their participation as a Medicare and Medicaid participating physician and as a participating provider under ... revocation. -Optometrist must meet all the qualifications to participate in the Medicare and Medicaid programs or any similar government-funded health care program… more
- Hackensack Meridian Health (Maywood, NJ)
- …to assess needs and develop an individualized plan in collaboration with the physician and other members of the health care team. + Facilitates communication and ... available health care benefits, and Provides Second Important message is provided to Medicare patients 4 to 48 hours prior to discharge. + Participates actively on… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Nurse Practitioner or Physician Assistant will be responsible for providing obstetrical and gynecological patient care within the scope and ... within a supervising practice agreement established with a specific physician on the staff of the Department of OB...consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or… more
Related Job Searches:
Medicare,
Physician,
Physician Medicare Chart Review,
Physician Medicare Review