- 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 ... highly organized, detail-oriented individual with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification ,… more
- Louisiana Department of State Civil Service (LA)
- …Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level of independence exercised ... Medical Certification Specialist 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4740168) Apply Medical Certification … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …or related field.** **.** **5 years of experience as a Sourcing Specialist or equivalent experience.** **Professional Certification (s):** . Certified Purchasing ... or related field.** **.** **7 years of experience as a Sourcing Specialist or equivalent experience.** **Professional Certification (s):** . Certified Purchasing… more
- New York State Civil Service (Thiells, NY)
- …Disabilities policies and regulations.* Maintain qualifications for Specialty and for Medicare and Medicaid certification of provider status.* Other duties ... Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… 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
- 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
- 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
- New York State Civil Service (Tupper Lake, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 (NY HELPS) Occupational Category Health Care, Human/Social Services Salary ... York State (see limited license/permit option under notes) AND certification by a Member Board of the American Board...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- New York State Civil Service (Queens Village, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 (NY HELPS) Occupational Category Health Care, Human/Social Services Salary ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...employment.Loss of your license or limited permit or board certification in New York State or failure to maintain… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Senior Program Delivery Specialist / Professional strategically identifies, develops, and implements programs that influence ... and/or improved quality metrics. Florida The Senior Program Delivery Specialist / Professional + Develops programs designed to drive value-based relationships.… more
- City and County of San Francisco (San Francisco, CA)
- …required documentation for credentialing + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR ... Public Health continuously accepts applications for all Senior Physician Specialist positions. + ✅Start with this Required Questionnaire https://forms.office.com/g/2a7KLdZBTz… more
- Medical Mutual of Ohio (OH)
- **Responsibilities** **COB Specialist I** Researches and responds to inquiries/issues to ascertain specifics of multiple health insurance coverages for members and ... and other insurance companies. . Performs other duties as assigned. **Sr. COB Specialist ** Performs research to ascertain specifics of other coverage for members and… more
- Health First (Melbourne, FL)
- …and secure the required forms to meet compliance with regulatory policies. 3. Perform Medicare compliance review on all applicable Medicare accounts in order to ... determine coverage. Identify patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed. 4. Complete Medicare … more
- Marshfield Clinic (Marshfield, WI)
- …are substantially related to the position. **Minimum Required** : Certified Child Life Specialist (CCLS) certification awarded by the Association of Child Life ... Red Cross within one month of hire. **Preferred/Optional:** Certified Therapeutic Recreation Specialist (CTRS) certification awarded by the National Council for… more
- 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 ... denial issues related to appeal requests. Completes cases within the Center for Medicare & Medicaid Services (CMS) timeframes. . Utilizes the appropriate systems and… more
- HCA Healthcare (Nashville, TN)
- …Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your current employer? We have an exciting opportunity for ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- Marshfield Clinic (Marshfield, WI)
- …awarded by the American Society for Clinical Pathology (ASCP). **Preferred/Optional:** Specialist certification through American Society for Clinical Pathology ... exciting missions in the world!** **Job Title:** Lab Technical Specialist -Hematology/Coagulation **Cost Center:** 201641056 Lab-Clinical Support **Scheduled Weekly Hours:**… more
- Adams County Government (Westminster, CO)
- Medical Billing and Coding Specialist Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/4744793) Apply Medical Billing and Coding Specialist ... Looks Like In This Job The Revenue Cycle Medical Billing and Coding Specialist is responsible for generating and processing medical claims within the Electronic… 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, ... and experience. + 1 year of experience as a Provider Credentialing & Data Specialist or equivalent experience in a health plan, medical office, hospital, or similar… 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. Analyzes the delivery, ... or related field. + 3 years experience as a Learning & Development Specialist or equivalent experience in adult learning or organizational development, preferably in… more
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