- Commonwealth Care Alliance (Boston, MA)
- …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program,...and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff… more
- Tidelands Health (Myrtle Beach, SC)
- …Provider Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in the assignment of ICD-10 ... people live better lives through better health!** **Supervisor Provider Coding Specialist ** Are you passionate about quality and committed to excellence? Consider… more
- Moses/Weitzman Health System (Middletown, CT)
- …+ Organizes work load to achieve a high level of productivity + Notifies Manager of information that negatively impacts production + Assist with special projects as ... 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
- 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
- Lyric (Newtown Square, PA)
- …and other immigration support are not available for this position. The Senior Manager , Clinical Content Maintenance will serve as a strategic partner to our clients, ... Managers and Medical Content Analysts. In this intricate role, the Senior Clinical Manager will combine their deep knowledge of CPT, HCPCS, and ICD10CM coding… 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 ... selected geography and works in partnership with the Territory Manager and Associate Territory Manager to achieve daily sales objectives through case support and… more
- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation… 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 ... in the process of interviewing applicants and provides feedback to hiring manager . Assists in the onboarding and training of new AR Collections Specialists.**… more
- Gentiva (Conyers, GA)
- …Compassion. Inspire Excellence. Elevate Hospice Care.** We are seeking a Patient Care Manager Specialist to join our team, reporting to the Regional Director ... supporting compliance with company policies and regulatory requirements. **As a Patient Care Manager Specialist , You Will:** + Provide oversight for patient care… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Medicare (CM), Division of Cost Reporting. As a Supervisory Health Insurance Specialist , GS-0107-15, you will lead Medicare payment policy development for ... of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for ...opportunity to participate in alternative work schedules at the manager 's discretion. The Interagency Career Transition Assistance Plan (ICTAP)… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Insurance Specialist , referred to here as a Supervisory Health Insurance Specialist (Division Director), GS-0107-15, you will lead Medicare payment policy ... is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Division of… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare , Division of Quality & ... Performance Based Payment Policy Group (PBPPG). As a Supervisory Health Insurance Specialist , GS-0107-15, you will serve as the Division Director, directing staff… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare , Performance-Based Payment Policy ... Group (P3). As a Health Insurance Specialist , GS-0107-15, you will serve as senior advisor on...private or public sector, to include: (1) Analyzing current Medicare Shared Savings Program policy and operations to provide… more
- Independent Health (Cheektowaga, NY)
- …fosters growth, innovation and collaboration. **Overview** The Red Shirt Promotion Specialist will be responsible for sales acquisition and retention strategies for ... Medicare . They will be responsible for identifying, contacting, and...and ensure PHI and security metrics are met. The Specialist will be responsible for compliance/adherence to CMS sales… more
- Hartford HealthCare (Farmington, CT)
- …arise *_Working Relationships:_* *This Job Reports To:* Audit and Education Specialist Manager *_Requirements and Specifications:_* **Education** . Minimum: o ... common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education… more
- University of Washington (Seattle, WA)
- …Research Billing Specialist position will enable the Clinical Research Billing Manager and Lead to coordinate and engage in the planning and implementation of ... (eg, CTMS Target 3 rollout). The Clinical Research Billing Specialist will: + Support Billing team through day-to-day problem-solving...patient billing + Escalate issues to Team Lead or Manager as appropriate ** Medicare Rules: Application and… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare , Division of Provider ... Outreach (DPRO), Provider Communications Group (PCG). As a Supervisory Health Insurance Specialist , GS-0107-15, you will serve as the Division Director to develop,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... or related field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing Manager … more
- Commonwealth Care Alliance (Boston, MA)
- …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program,...and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff… more
- Penn Medicine (Plainsboro, NJ)
- …Are you living your life's work? **Looking for a FT Verification Specialist ** **Schedule: M-F Day** **Department: Multi Specialty** **Location: 5 Plainsboro Rd** ... Summary: Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and coordination for all commercial, Medicaid… more
