- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- CLINICAL REIMBURSEMENT SPECIALIST / MULTI FACILITY We offer competitive compensation and benefit plans including: + Competitive Pay + Medical, Dental, Vision ... + Fun, Family-Like Team, and Atmosphere! We are seeking an experienced Clinical Reimbursement Specialist to support our MDS/MMQ teams in Massachusetts. The… more
- The Cigna Group (Bloomfield, CT)
- …follow up contact, which may include primary care physician and specialist appointment scheduling. + Provide clinical assessments, health education, and utilization ... Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- Prime Healthcare (Ontario, CA)
- …various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the ... complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section of the report is linked to another and be… 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
- Prime Healthcare (Ontario, CA)
- …of various government reports and support their audits. The Corporate Government Reimbursement Specialist will assist in preparing and understanding main ... sections of cost report. The Corporate Government Reimbursement Specialist should understand how one section...cost reports + Experience in preparing and completing entire Medicare and Medicaid cost reports, preferably for a multi-state… more
- Signature Healthcare (Columbus, OH)
- …Modern Healthcare's "Best Places to Work!" Overview The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...Plan + 401(K) and Roth 401(K) + Tuition Forgiveness/Education Reimbursement + A variety of additional specialized Insurances +… 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
- Teleflex (Wayne, PA)
- Reimbursement Access Specialist **Date:** Sep 12, 2024 **Location:** Wayne, PA, US **Company:** Teleflex **Expected Travel** : Up to 25% **Requisition ID** ... make a difference in patients' lives. **Position Summary** The Reimbursement Access Specialist is a highly visible,...develop tools for internal and external customers. * Monitor Medicare and private payer websites for policies relevant to… more
- WMCHealth (Kingston, NY)
- Financial Reimbursement Specialist Company: HealthAlliance Hospital City/State: Kingston, NY Category: Finance/Info Systems Department: Accounting Union: No ... link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26725) Internal Applicant link Job Details: The Financial Reimbursement Specialist is responsible for certain aspects… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …lives that makes ZOLL the ideal place to build your career. Job purpose The Reimbursement Specialist is an integral member of the reimbursement team and ... skills. + Experience working with all payer types to include Medicare , Medicaid and third-party commercial insurance companies. + Superior communication, customer… more
- Ciena Healthcare (Richmond, VA)
- …about MDS? When you join Ciena Health Care Company as a Clinical Resource Specialist , you will share your expertise with the MDS nurses in several facilities. In ... this role, you will audit and evaluate Medicare compliance and the RAI process in four facilities...you! The successful applicant have a comprehensive knowledge of Medicare , PDPM, RAI process, quality measures, as well as… more
- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 5334 - Specialist - Reimbursement Facility: BHME - Memphis Department: AC BHME Memphis ... prior to billing to ensure corporate compliance with billing regulations ( Medicare , Medicaid, state programs, etc.). + Completes all assigned goals. Requirements,… more
- 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 supervision, ... (NCQA) accreditation requirements, Quality Programs, and regulations such as Medicare Advantage, Medicaid, and Marketplace Exchange, and Office of Personnel… more
- ZOLL Medical Corporation (Dallas, TX)
- …when appropriate. + Trend Escalation - Meet with leadership to discuss/resolve reimbursement and/or payor obstacles. + Appeals - Determine when an appeal, reopening, ... review eligibility response and determine payor sequence. Knowledge of Medicare Part A vs Part B benefits and liability...assigned Qualifications + Prefer minimum 3 years in medical reimbursement field + Ability to read and understand EOBs… more
- 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 supervision, ... remote; Cleveland, Ohio area residents preferred._** **Responsibilities** **Underwriting Administration Specialist ** Based on market segment assignment: + Reviews and… more
- MetroLink (Los Angeles, CA)
- Special Services Employee (TEMP) - Finance Specialist II (Accounts Payable) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4620361) Apply ... Special Services Employee (TEMP) - Finance Specialist II (Accounts Payable) Salary $1,827.77 - $2,834.85 Biweekly...have the option of seeing out-of-network providers, but full reimbursement is not guaranteed. VSP has contracted with many… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. **Responsibilities** **Business Systems Specialist I** Works with management, external vendors, and Information Systems ... more junior staff. . Performs other duties as assigned. **Business Systems Specialist II** Works with management, external vendors, and Information Systems to… more
- MetroLink (Los Angeles, CA)
- Contract Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4472709) Apply Contract Specialist Salary $59,645.00 - $92,450.00 ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Contracts Specialist performs quality control checks, confirms that contract and procurement processes… more
- City of La Mesa, CA (La Mesa, CA)
- Clinical Homeless Outreach Specialist Salary $81,619.20 - $106,766.40 Annually Location 91942, CA Job Type Regular Full-Time Job Number 24-29 Department Police ... team serving the community as a Clinical Homeless Outreach Specialist . In February 2021, the La Mesa City Council...hours compared to a 40-hour workweek. Unused Sick Leave Reimbursement : Employees with ten (10) or more years of… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Claims/Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of an Ohio 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
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