- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing clinical ... HCPCS and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding,… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... hospital Managed Care payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert… more
- Moses/Weitzman Health System (Middletown, CT)
- …experience in a healthcare billing and collections office **OR** 2) Coding Certification /Billing Certificate Program (AAPC's CPC or AHIMA's CCA) with 2 years' ... and collections office + In depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules. Insurance reimbursement methods, the claims appeal process,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …writing of scheduled medications (must obtain within 1 year of employment) Medicare Billing Number (NPI-National Provider Identifier) - (must obtain within 6 months ... of employment) Certification : Nurse Practitioner, National (must obtain within 1 year of employment) Successfully complete the credentialing process through Medical… more
- Luke Staffing (Butner, NC)
- **MEDICAL BILLING CODING SPECIALIST ** **We encourage Military Veterans and Military Spouses to apply** **SITE OF SERVICE:** DOJ (Department of Justice Prison) - ... 2 years of experience in a healthcare or insurance environment (preferred) ** Certification ** : Must have one of the following certifications: . Registered Health… more
- Katmai (Usaf Academy, CO)
- …as needed at the local treatment facilities. + Assists TRICARE eligible and Medicare -eligible patients in accessing local TRICARE and Medicare providers in ... the Central Referral Center. + Maintains current directories of local Medicare providers, suppliers, and Institutions. + Evaluates case management process utilizing… more
- Tidelands Health (Myrtle Beach, SC)
- …and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ... Notice, AOB (Assignment of Benefits), Medicare Important Messages etc. Provides information and/or handouts and answers questions on patient rights and… more
- Tidelands Health (Myrtle Beach, SC)
- …and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy ... Notice, AOB (Assignment of Benefits), Medicare Important Messages etc. Provides information and/or handouts and answers questions on patient rights and… more
- National Health Care Associates (Plantsville, CT)
- …Coordinator include:** + Valid state RN nursing license + Advanced degree or certification preferred + Direct care in a long-term care setting, MDS Coordinator, ... Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge...Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs… more
- Cordis (Trenton, NJ)
- …the people behind the people who keep saving lives.** The **Clinical Closure Sales Specialist ** is focused on the support of the Cordis closure business within a ... providers, nurses, techs, and management). + Complete training and obtain certification Closure products demonstrating competency as defined by the training team.… more
- Lyric (Newtown Square, PA)
- …processing professionals + Active AAPC Certified Professional Coders (CPC) certification or American Health Information Management Association (AHIMA) Certified ... Coding Specialist -Physician (CCS-P) + Working knowledge of pre-payment editing and...demonstrated understanding of US health insurance payers including Commercial, Medicare , Medicaid (FFS and MCOs), third-party claims processing (including… 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 ... **_Note: 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… 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 ... necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance...to have the one or all of the required certification OR willing to get certified within 1 year… 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
- 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 ... or professional medical billing and/or accounts receivables setting. **Licensure, Certification , Registration** . Preferred: American Academy of Professional Coders… more
- Louisiana Department of State Civil Service (LA)
- Medical Certification Specialist 1 - 2 (Field Office 2) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5060163) Apply Medical ... Certification Specialist 1 - 2 (Field Office...to determine compliance with state and federal regulations, including Medicare and Medicaid standards. + Review facility records, policies,… more
- Charter Care Health Partners (Providence, RI)
- …all authorizations and pre-certs as required by the individual insurance company. The specialist will be familiar with and understand Medicare , Medicaid, other ... government payers, Commercial and HMO/PPO Payers guidelines and principals. Education: High school graduate or GED required. Associate's level degree preferred. Experience: Prior experience working in a related role in a medical office or other health care… more
- Penn Medicine (Lancaster, PA)
- … Specialist license is required, issued by the PA Board of Nursing License + Certification as a Clinical Nurse Specialist from a National Certifying Body + ... in the area of specialty + Current enrollment in an accredited Clinical Nurse Specialist degree program qualifying them for certification and licensure in the… 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
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