- One Medical (San Francisco, CA)
- …Medical Flex Health Navigator supporting our Senior patients (age 65+) on Medicare , you are focused on delivering exceptional care coordination and team assistance. ... on: Manage comprehensive care coordination for senior patients, including specialist referrals, appointment scheduling, and follow-up with high-risk or disengaged… more
- HCA Healthcare (El Paso, TX)
- …purpose and integrity. We care like family! Jump-start your career as a Medicare Specialist today with Parallon. **Benefits** Parallon offers a total rewards ... Eligibility for benefits may vary by location._** Come join our team as a Medicare Specialist . We care for our community! Just last year, HCA Healthcare and our… more
- Community Health Systems (La Follette, TN)
- **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... are submitted in accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and state… more
- Southeast Health (Dothan, AL)
- …Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution. Job ... to obtain accurate reimbursement; + Understands the use of and navigation of Medicare 's DDE system and other governmental and commercial payer websites for claim… more
- Robert Half Office Team (Kansas City, MO)
- Description We are looking for a dedicated Licensed Medicare Specialist to join an insurance company in Kansas City, Missouri. This is a long-term contract ... possess strong sales skills, an entrepreneurial mindset, and a deep understanding of Medicare products and compliance standards. Could turn into a contract to hire… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... as necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance process.… more
- Molina Healthcare (Oshkosh, WI)
- …for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved ... product features and differences. + Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment… more
- 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
- Cedars-Sinai (Los Angeles, CA)
- …in other revenue cycle functions and provide back-up coverage. This Revenue Cycle Specialist II is responsible for Medicare Claim Edits and employee work ... and/or collections experience required. Four years' experience or more preferred. Medicare Claim Edits and employee work comp follow-up experience preferred. **Why… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
- Hartford HealthCare (Farmington, CT)
- …Up/Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of monitoring ... Corp.* **Title:** *Accts Receivable Team Lead / PA Non Medicare Billing* **Location:** *Connecticut-Farmington-9 Farm Springs Rd Farmington (10566)* **Requisition… more
- 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 - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing … more
- University of Southern California (Los Angeles, CA)
- The Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant ... services and Medicare cost report (MCR) requirements. This includes but not...(ie heart, lung, liver, kidney, pancreas, etc.) for commercial, Medicare , hospital-based, provider-based inpatient and outpatient transplant accounts to… more
- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization...provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date.… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Medicare (CM), Division of Cost Reporting. As a Supervisory Health Insurance Specialist , GS-0107-15, you will lead Medicare payment policy development for ... of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for ...and verification of financial and other data for all Medicare program providers participating under the various payment systems.… more
- Penn Medicine (Lancaster, PA)
- …or holidays. Penn Medicine Lancaster General Health is seeking a Clinical Nurse Specialist (CNS) **_or_** CNS Fellow with Cardiac and/or Critical Care expertise. The ... standards and regulatory guidelines. + Other duties as assigned. **Clinical Nurse Specialist Minimum Required Qualifications :** + Master of Science degree in… more
- New York State Civil Service (Elmira, NY)
- …Yes Agency Mental Health, Office of Title Mental Hygiene Program Evaluation Specialist 4 (NY HELPS), Elmira Psychiatric Center, P27499 Occupational Category Health ... Center is currently recruiting a Mental Hygiene Program Evaluation Specialist 4 to oversee their program evaluation department. As...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Insurance Specialist , referred to here as a Supervisory Health Insurance Specialist (Division Director), GS-0107-15, you will lead Medicare payment policy ... Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare... Medicare & Medicaid Services (CMS), Center for Medicare (CM), Division of Institutional Post Acute Care OR… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for...ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care **Department** : MNS Managed Care… more
- New York State Civil Service (NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... Code 00000 Duties Description Primary Duties and ResponsibilitiesAs a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
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