• Medical Billing Specialist

    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
    Elderwood (10/26/24)
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  • Medicare Sales Specialist (Remote…

    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...understanding of products, services, and processes offered by the company . + Expert level of MAPD/DSNP product offerings Ability… more
    CVS Health (10/08/24)
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  • Medicare Billing Collections…

    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
    CVS Health (10/26/24)
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  • Chart Review Specialist - Medicare

    Fallon Health (Worcester, MA)
    **Overview** **About us:** Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
    Fallon Health (08/13/24)
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  • Lowes Care Nurse - Case Manager ( Medicare

    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 ... company with a high volume of claims per year...caseload of 65 including review of claims identified for Medicare Set-Aside. **What you will do** + Manage an… more
    Lowe's (10/30/24)
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  • Cigna Medicare Population Health Nurse Case…

    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 ... Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified...and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition… more
    The Cigna Group (09/07/24)
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  • Payment Control Specialist I- Sr.

    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 ... status as a mutual company means we are owned by our policyholders, not...best possible health and quality of life. Payment Control Specialist I Processes routine corporate cash receipts and adjustments.… more
    Medical Mutual of Ohio (10/24/24)
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  • Sourcing Specialist

    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 ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans....individual plans. Medical Mutual' s status as a mutual company means we are owned by our policyholders, not… more
    Medical Mutual of Ohio (10/17/24)
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  • Provider Credentialing & Data Specialist

    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 (10/30/24)
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  • Provider Contract Support Specialist - Sr.

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... status as a mutual company means we are owned by our policyholders, not...possible health and quality of life. Provider Contract Support Specialist Under general supervision, supports provider contracting department by… more
    Medical Mutual of Ohio (10/22/24)
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  • Bilingual Call Center Specialist

    Humana (West Palm Beach, FL)
    …and help us put health first** The Bilingual Telephonic Call Center Care Specialist / Care Coach 1 assesses and evaluates member's needs and requirements to ... Boynton Beach, FL office **Bilingual Telephonic Call Center Care Specialist / Care Coach 1:** + Inbound and Outbound...needs and hours could include weekends/holidays. + During the Medicare Annual Election Period, September to December, must be… more
    Humana (10/29/24)
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  • Clinical Reimbursement Specialist / Multi…

    Tarrytown Rehabilitation & Nursing Center (Everett, MA)
    CLINICAL REIMBURSEMENT SPECIALIST / MULTI FACILITY We offer competitive compensation and benefit plans including: + Competitive Pay + Medical, Dental, Vision ... Team, and Atmosphere! We are seeking an experienced Clinical Reimbursement Specialist to support our MDS/MMQ teams in Massachusetts. The Clinical Reimbursement… more
    Tarrytown Rehabilitation & Nursing Center (10/31/24)
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  • IT Security Specialist I-V - Hybrid

    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 ... status as a mutual company means we are owned by our policyholders, not...best possible health and quality of life. IT Security Specialist I Performs the less complex, day to day… more
    Medical Mutual of Ohio (09/27/24)
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  • Provider Network Compliance Specialist

    Medical Mutual of Ohio (OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Ensures compliance with ... all statutory, regulatory, program, and accreditation requirements for each of the Company 's provider networks. Acts as the Subject Matter Expert (SME) for the… more
    Medical Mutual of Ohio (10/23/24)
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  • Appeals Specialist

    TEKsystems (Vancouver, WA)
    …processing errors and denials. Payers include but are not limited to Medicare , Medicaid, Blue Cross, and commercial health insurance carriers. * Reduce outstanding ... increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New...to account. Every account is different and the insurance company has either paid it and left a balance… more
    TEKsystems (10/23/24)
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  • Inpatient Coding Denial Specialist

    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 ... group of colleagues. Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating positive patient interactions is valued? If you are… more
    HCA Healthcare (09/25/24)
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  • Billing Reimbursement Specialist

    Insight Global (Arlington Heights, IL)
    Job Description Insight Global is looking for a billing reimbursement specialist . They will be working on the Medicare team for the follow up and reconciliation ... processes team. They will be contacting employers, insurance carriers and Medicare parties for interpretation of coverage. This involves meticulously checking each… more
    Insight Global (09/07/24)
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  • Medical Record Retrieval Specialist

    Humana (Miami Lakes, FL)
    …community and help us put health first** The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and ... benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave),… more
    Humana (10/29/24)
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  • Pharmacy Billing Specialist

    Elderwood (Buffalo, NY)
    …is on-site! Pharmacy Billing Specialist Position Overview: The Pharmacy Billing Specialist is responsible for electronic billing of Medicare , Medicaid and ... Package - Medical, Dental, Vision, Life + 401(k) with company match + Competitive Pay + Weekly Paycheck +...- 8a.m.- 4 pm or 9a.m.-5p.m. Responsibilities Pharmacy Billing Specialist Responsibilities: + Electronic billing of Medicare ,… more
    Elderwood (08/15/24)
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  • Benefits Entitlement Specialist

    The Arc Erie County NY (Williamsville, NY)
    …of life by creating opportunities through comprehensive services for over 65 years. Our Company : Are you ready to Achieve with The Arc Erie County? The Arc Erie ... and resources. Our Position: We are currently seeking a Benefits / Entitlement Specialist for our corporate office located in Williamsville, NY to serve as… more
    The Arc Erie County NY (10/18/24)
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