- 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 (Monroeville, PA)
- …to communicate with clientele in a professional manner; both verbally and written + Certified Billing and Coding Specialist (CBCS) preferred but not required . ... 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… more
- Lowe's (Charlotte, NC)
- …Manager + CRRN - Certified Rehabilitation Registered Nurse + CDMS - Certified Disability Management Specialist + COHN - Certified Occupational Health ... treatment to an appropriate resolution. Apply medical treatment guidelines for future Medicare -covered expenses. The candidate will work directly for a Fortune 100… more
- The Cigna Group (Bluffton, SC)
- … Medicare Advantage, Medicare -Medicaid. Plan (Dual-Eligible) and/or Medicaid. ** Certified Coding Specialist required.** 5+ years of experience with ... audit. **Qualifications:** Bachelor's degree or equivalent. **5+ years of experience with Medicare Risk Adjustment-is required.** 5+ years of experience working with… more
- State of Colorado (Grand Junction, CO)
- Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) - Grand Junction Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4640675) Apply Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) -… more
- The Cigna Group (Bloomfield, CT)
- …+ Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager preferred + Experience with community resource organizations + ... follow up contact, which may include primary care physician and specialist appointment scheduling. + Provide clinical assessments, health education, and utilization… more
- State of Georgia (Newton, GA)
- Certified Peer Specialist - New Rock Peer Support - Covington, GA Georgia - Newton - Covington ... disabilities. View Point Health serves uninsured, underinsured, low-income Medicaid, Medicare , war veterans and some private insurance across multiple locations… 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
- Medical Mutual of Ohio (Dublin, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... best possible health and quality of life. IT Security Specialist I Performs the less complex, day to day...3 Years of relevant IT experience. Professional Certification(s): + Certified in Risk and Information Systems Control (CRISC) preferred.… more
- Louisiana Department of State Civil Service (LA)
- …from Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level of independence exercised in ... Medical Certification Specialist 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4712236) Apply Medical Certification Specialist 1-2… more
- SSM Health (MO)
- …school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of ... documentation or 4 years experience in clinical documentation with a Certified Clinical Documentation Specialist (CCDS) certification PHYSICAL REQUIREMENTS +… more
- Priority Health Care (Marrero, LA)
- …EDUCATION, CERTIFICATIONS & EXPERIENCE: + Certified Professional Biller (CPB), Certified Medical Reimbursement Specialist (CMRS), Certified Professional ... JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of...regulations of state and federal regulatory agencies and other certified agencies. MAJOR RESPONSIBILITIES/ACTIVITIES: The responsibilities of the Revenue… more
- Lancaster General Health (Lancaster, PA)
- …REQUIRED QUALIFICATIONS:** + High school diploma or equivalent (GED) + Certification as Certified Coding Specialist for Physicians (CCS-P) or a Certified ... Health Information Technician), RHIA (Registered Health Information Administrator), CCS ( Certified Coding Specialist ), COC-A ( Certified Outpatient… more
- Marshfield Clinic (Marshfield, WI)
- …if restrictions are substantially related to the position. **Minimum Required** : Certified Child Life Specialist (CCLS) certification awarded by the Association ... or American Red Cross within one month of hire. **Preferred/Optional:** Certified Therapeutic Recreation Specialist (CTRS) certification awarded by the… more
- Marshfield Clinic (Eau Claire, WI)
- …substantially related to the position_ **Minimum Required:** Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician ... most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 HIM-Facility Coding **Scheduled Weekly… more
- Hackensack Meridian Health (Neptune, NJ)
- …and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or certification within two ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of… more
- Corewell Health (Stevensville, MI)
- About Pine Ridge Pine Ridge is a 111-bed Skilled Nursing Facility that is Medicare and Medicaid Certified with 33 private rooms and 39 semi-private rooms. The ... Care 24 Hour Skilled Nursing, Hospice and Respite Care, Restorative Care and Certified Wound Care. About Corewell Health South - Lakeland Hospitals The health system… more
- Marshfield Clinic (Marshfield, WI)
- …AAMI Credentials Institute (AMI), Certified Biomedical Electronics Technician (CBET), Certified Radiology Equipment Specialist (CRES), or Certified ... exciting missions in the world!** **Job Title:** Diagnostic Equipment Specialist I,II,III **Cost Center:** 101651034 System Support-Biomed **Scheduled Weekly… more
- Cleveland Clinic (Mayfield Heights, OH)
- SQPE Specialist II Join Cleveland Clinic Hillcrest Hospital and experience world-class healthcare at its best. Hillcrest Hospital provides state-of-the-art ... receive for professional nursing practice. The Safety and Quality Patient Experience Specialist II (SQPE) leads safety, quality, and experience work at Hillcrest and… more
- State of Georgia (Richmond County, GA)
- …delivery AIRS (Alliance of Information and Referral Systems) Certification CHES { Certified Health Education Specialist ) Certification or other adult training ... Aging Program Specialist - Region 2 Georgia - Richmond -.... Maintain up to date understanding of Centers for Medicare & Medicaid Services (CMS), Administration for Community Living… more