- Medical Mutual of Ohio (OH)
- …help our members achieve their best possible health and quality of life. ** Medicare Sales Operations Specialist ** Executes all end-to-end functions relating to ... and other fulfillment needs identified for the business area. **Sr. Medicare Sales Operations Specialist ** Executes end-to-end functions relating to… more
- VNS Health (Manhattan, NY)
- OverviewThe Medicare Enrollment Specialist educates consumers who have reached out to VNS Health Plans and existing VNS Health Plans MLTC members about the ... and dependent care and commuter transit program + Generous tuition reimbursement for qualifying degrees + Opportunities for professional growth, career advancement… more
- Owens & Minor (Austin, TX)
- …one year of service + Employee stock purchase plan + Tuition reimbursement **POSITION SUMMARY:** This representative will be required to request Medical ... documentation and assure received documentation meets insurance payer guidelines. When applicable, the audit coordinator will be responsible for accurate and timely response to any audits received. **ESSENTIAL TASKS:** Must possess excellent communication… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and...information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction +… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …healthcare policies and ensures accurate coordination of benefits. The Specialist validates data, identifies discrepancies, resolves issues, and collaborates with ... benefits information and proactively resolving COB issues. **Job Title: Medicare Benefits Validation Analyst** **Location: Pearland Administrative Office** **Department:**… more
- Insight Global (Arlington Heights, IL)
- Job Description Insight Global is looking for a billing reimbursement specialist . They will be working on the Medicare team for the follow up and ... processes team. They will be contacting employers, insurance carriers and Medicare parties for interpretation of coverage. This involves meticulously checking each… more
- Trinity Health (Columbus, OH)
- …analysis, audit, provider relations and more. **Position Purpose:** Coding and Reimbursement Specialist , responds to post-payment inquiries from providers ... **Shift:** **Description:** **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other … more
- Ventura County (Ventura, CA)
- …is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general ... Reviews bulletins to identify new programs that may affect reimbursement for Medi-Cal and/or Medicare and prepares...Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group has an opening for a Coding & Reimbursement Specialist in its Medical Claim Services Department. The location for this position will be based ... detail Preferred Experience: + Knowledge of PIP, Workers Compensation, and/or Medicare coding regulations and guidelines + Knowledge of Mitchell DecisionPoint and/or… more
- NJM Insurance (Hammonton, NJ)
- …PIP Claims Representatives, PIP Supervisors, and other team members. The lien specialist also interacts with the Medicare Liaison, NJM policyholders, associated ... The PIP Lien Specialist supports the PIP Department by following the...best practices associated with managing all aspects of the Medicare recovery process and healthcare liens more effectively and… more
- ZOLL Medical Corporation (Broomfield, CO)
- …for our customers to achieve the highest levels of care, collaboration, and reimbursement . This position is responsible to resolve aged accounts and must have denial ... + Trend Escalation - Meet with leadership to discuss/resolve reimbursement and/or payor obstacles. + Appeals - Determine when...review eligibility response and determine payor sequence. Knowledge of Medicare Part A vs Part B benefits and liability… more
- ZOLL Medical Corporation (Broomfield, CO)
- …for our customers to achieve the highest levels of care, collaboration, and reimbursement . This position is responsible to resolve aged accounts and must have denial ... + Trend Escalation - Meet with leadership to discuss/resolve reimbursement and/or payor obstacles. + Appeals - Determine when...review eligibility response and determine payor sequence. Knowledge of Medicare Part A vs Part B benefits and liability… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... health and quality of life. **Responsibilities** **Medical Coding Compliance Specialist I** Optimizes/reviews documentation for the application of risk adjustment… more
- Medical Mutual of Ohio (OH)
- **_The Medical Record Retrieval Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of a local Medical ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- Fairview Health Services (Minneapolis, MN)
- …Experience** + Three + years medical billing or collection experience, Medicare , Medicaid, Third Party experience Compensation $20.01 - $28.25/Hr. **EEO Statement** ... and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement , retirement, early access to earned wages, and more! Please follow this… more
- MetroLink (Los Angeles, CA)
- Finance Specialist I, Grants Finance (Limited Term) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4709470) Apply Finance Specialist I, ... the Metrolink passenger rail service, is seeking a Finance Specialist I who will perform a wide variety of...Oracle. + Prepare contract/ grant billings and submit for reimbursement ensuring compliance with agreements prior to submission. +… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Sourcing Specialist is a hybrid position that allows you the flexibility to work onsite 3 days a week and work at home 2 days a week as long as you reside ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Client Accounting Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH Medical ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... achieve their best possible health and quality of life. **Document Services Specialist ** Executes database records, monitors and coordinates changes to the Document… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … Medicare Supplement, and individual plans._** **Responsibilities** **Cash Recovery Specialist ** Reviews and research routine to moderately complex refunds and ... projects, etc.). . Performs other duties as assigned. **Senior Cash Recovery Specialist ** Reviews and research moderately complex to complex refunds and returned… more
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