- 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
- Corewell Health (Grand Rapids, MI)
- Job Summary The Medicare Quality Specialist , Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and CAHPS by ... collaboration with internal and external partners, assisting with the administration of Medicare programs, and other projects assigned to support the Medicare … more
- 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
- 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
- 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
- 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
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... follow us on Facebook, Twitter and LinkedIn. **Responsibilities** The Chart Review Specialist primary responsibility is to review, analyze and report on FCHP patient… more
- 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
- CareOregon (Portland, OR)
- …Nevada, Texas, Montana, or Wisconsin. Job Title Sr Planning and Operations Specialist Department Medicare Exemption Status Exempt Requisition # 24639 Direct ... Reports N/A Manager Title Director, Medicare Network Performance Pay & Benefits Estimated hiring range...assessment measures + Strong understanding of Oregon Medicaid or Medicare in area of focus (preferred) + Strong understanding… more
- Elevance Health (Tampa, FL)
- …organization with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. **Employment Specialist LTSS-Foster Care** **Location:** ... sites used for collaboration, community, and connection. The **Employment Specialist LTSS-Foster Care** is responsible for maintaining relationships with employers,… 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
- TEKsystems (Long Beach, CA)
- … Specialist is the single-point of contact for all assigned dual members (Medi-Cal/ Medicare ). The PAL Specialist manages all initial & annual outreach to each ... Care Coordinator / PAL Specialist Start Date: November 11 th 2024 Pay...navigating through healthcare & state eligibility systems. The PAL Specialist facilitates access to care with/on behalf of the… more
- Lowe's (Charlotte, NC)
- …treatment to an appropriate resolution. Apply medical treatment guidelines for future Medicare -covered expenses. The candidate will work directly for a Fortune 100 ... caseload of 65 including review of claims identified for Medicare Set-Aside. **What you will do** + Manage an...Rehabilitation Registered Nurse + CDMS - Certified Disability Management Specialist + COHN - Certified Occupational Health Nurse or… more
- The Cigna Group (Bluffton, SC)
- …5+ years of experience working with Medicare Advantage, Medicare -Medicaid. Plan (Dual-Eligible) and/or Medicaid. **Certified Coding Specialist required.** ... with Risk Adjustment Data Validation Audits required. Strong knowledge of Medicare Risk Adjustment regulations required. Strong knowledge of Risk Adjustment and… 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 ... in Case Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager preferred… more
- CenterWell (Las Vegas, NV)
- …with EMR's + Knowledge of medical terminology + Knowledge of Managed care and Medicare **Front Desk Specialist Working hours:** Scheduled 40 hours per week ... Monday to Friday 8AM-5PM Local travel may be required; Mileage is reimbursed **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time… 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 Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary… 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. Payment Control Specialist I Processes routine corporate cash receipts and adjustments. Balances daily cash… 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 (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under direct supervision, ... remote; Ohio residents preferred._** **Responsibilities** **Provider Credentialing & Data Specialist I** + Categorizes returned mail and determines action needed… more
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