• Medicare Specialist (HHS)

    Walworth County (Elkhorn, WI)
    Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply  Medicare Specialist (HHS) Salary $18.70 ... Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, … more
    Walworth County (10/12/24)
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  • Medicare Sales Specialist (Remote…

    CVS Health (Nashville, TN)
    …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... specialized team who will focus on educating existing Medicare members on available plan offerings to help meet...Work defined campaigns that are designed to assist Aetna Medicare members holistically find the appropriate Aetna Medicare more
    CVS Health (10/08/24)
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  • Medicare Enrollment Specialist

    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 ... who contact VNS Health Plans via website about VNS Health Plans Medicare products. Qualifications Licenses and Certifications: + NYS Health Insurance License,… more
    VNS Health (11/27/24)
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  • Medical Billing Specialist

    Elderwood (Buffalo, NY)
    …our commitment to providing exceptional care to our residents. Medical Billing Specialist ( Medicare /Managed Care) Position Overview: + Responsible for Managed ... Life Insurance, Medical, Dental, and Vision insurance Responsibilities Medical Billing Specialist ( Medicare /Managed Care): + Review remittances for potential… more
    Elderwood (11/18/24)
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  • Clinical Services Support Specialist

    Medical Mutual of Ohio (OH)
    …substance abuse and nicotine testing._ **Title:** _Clinical Services Support Specialist ( Medicare UM)_ **Location:** _Ohio_ **Requisition ID:** _2400556_ ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Under general… more
    Medical Mutual of Ohio (11/16/24)
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  • Clinical Documentation Integrity Specialist

    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 ... with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC),… more
    UCLA Health (11/11/24)
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  • Senior Medicare Communications Compliance…

    Centene Corporation (Raleigh, NC)
    …anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of regulatory requirements ... associated with the Medicare materials and sales compliance. Participates in the ongoing...ongoing oversight, analysis, review, and approval of all beneficiary-facing Medicare materials. In addition, may also support the department… more
    Centene Corporation (11/22/24)
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  • Medicare Billing Collections…

    CVS Health (Monroeville, PA)
    …also provides free parking. **What you will do** + Timely response to Medicare audits and appeals + Research and gather the appropriate documentation to form ... all levels of appeals for Medicare + Third party follow-up associated with the dispensing...both verbally and written + Certified Billing and Coding Specialist (CBCS) preferred but not required . **Education** +… more
    CVS Health (10/26/24)
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  • Medicare Billing and Collections…

    PruittHealth (Norcross, GA)
    …for all assigned locations. This position functions within a team environment and under general supervision. Successful individuals manage a volume of work as ... **JOB PURPOSE:** Supports the delivery of all Insurance billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing services are timely, accurate, and allow for appropriate reimbursement. Conducts all claims-related… more
    PruittHealth (10/25/24)
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  • Transition of Care Integration Specialist

    Sea Mar Community Health Centers (Mount Vernon, WA)
    …by contracted entities such as Accountable Communities of Health and Medicaid/ Medicare organizations. + The TOC Integration Specialist must maintain the ... a mandatory COVID-19 and flu vaccine organization Transition of Care Integration Specialist - Posting #27118 Hourly Rate: $26.52 Position Summary: Sea Mar Community… more
    Sea Mar Community Health Centers (11/16/24)
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  • Training Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale Agents, Benefit ... Navigators, and Medicare Support Specialists are conducting activities that are in...+ Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct Reports: Director Training… more
    Centers Plan for Healthy Living (11/06/24)
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  • Sr Appeals Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …consider collective experience, training and education. . 5 years as an Appeals Specialist or equivalent experience in Medicare health insurance claims, customer ... to appeal requests. Completes cases within the Center for Medicare & Medicaid Services (CMS) timeframes. . Utilizes the...to appropriate area for review. . Facilitates processing of Medicare appeals to the independent review entity (IRE) .… more
    Medical Mutual of Ohio (11/14/24)
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  • Remote Member Engagement Specialist

    BeneLynk (San Antonio, TX)
    …to Medicare Advantage beneficiaries enrolled in a BeneLynk contracted Medicare Advantage plan. The Member Engagement Specialist makes outbound telephone ... is in service of this one central vision. REMOTE MEMBER ENGAGEMENT SPECIALIST This position holds accountability for conducting telephonic screening services… more
    BeneLynk (11/28/24)
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  • Senior Manager, Medicare Product…

    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
    Point32Health (11/08/24)
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  • Assistant Director Medicare Advantage Risk…

    UCLA Health (Los Angeles, CA)
    …can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is ... presentations to leadership as needed + Train and develops performance improvement specialist + Develop policies and procedures with leadership surrounding mock RADV… more
    UCLA Health (11/27/24)
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  • Medical Billing Specialist III/IV

    Ventura County (Ventura, CA)
    …for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related duties as required. Medical ... Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply  Medical Billing Specialist III/IV Salary… more
    Ventura County (11/28/24)
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  • Payment Control Specialist I- Sr.

    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. Payment Control Specialist I Processes routine corporate cash receipts and adjustments. Balances daily cash… more
    Medical Mutual of Ohio (10/24/24)
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  • Sourcing Specialist

    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 (10/17/24)
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  • Business Systems Specialist

    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
    Medical Mutual of Ohio (11/07/24)
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  • Medical Billing Specialist I/II

    Ventura County (Ventura, CA)
    Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4658466) Apply  Medical Billing Specialist I/II Salary ... for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. DISTINGUISHING CLASSIFICATION LEVELS… more
    Ventura County (11/03/24)
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