- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... appeals, follow-up, financial assistance and customer service. **Duties of a Revenue Specialist may include the following, but are not limited to:** + Prepare… more
- Emanate Health (Covina, CA)
- …codes submitted for Medicare and Covered CA lines of business. Coding specialist will be responsible to review medical records and claims data to ensure external ... the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan, and MSO personnel on HCC… 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 ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...health, health management, social work, or a related field preferred . Required Experience (must have): - 1+ years of… more
- Caris Life Sciences (Irving, TX)
- …customer service orientation. ** Preferred Qualifications** + Bachelor's degree preferred . + Current Certified Provider Credentialing Specialist (CPCS) with ... Caris is where your impact begins.** **Position Summary** The Senior Enrollment Specialist plays a key role in overseeing the end-to-end payor enrollment process.… more
- Tidelands Health (Myrtle Beach, SC)
- …people live better lives through better health!** **Supervisor Provider Coding Specialist ** Are you passionate about quality and committed to excellence? Consider ... mission to life each day. **A Brief Overview** The Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager, is responsible for… 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
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …to join the **Senior Care Outreach and Retention** team\! As a Pharmacy Specialist , you'll be the frontline of our Senior Care Team, guiding members through ... Certified Pharmacy Technician \(CPhT\) is required for this role\. ** Preferred Qualifications:** + Proficient knowledge of Microsoft office products, including… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Contract Operations Sr. Specialist - US Market Access Contract Operations is responsible for overseeing the execution of ... fast-paced environment. A background in market access, healthcare, or pharmaceuticals is preferred . This role provides the opportunity to enter the Market Access… 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 ... the requirements of the delegations of Services for the assigned division PREFERRED QUALIFICATIONS: 2 years of experience in clinical nursing with emphasis in… 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) - ... Possess 2 years of experience in a healthcare or insurance environment ( preferred ) **Certification** : Must have one of the following certifications: . Registered… more
- Katmai (Usaf Academy, CO)
- …facility, hospice and mental health services are desired. + Experience with Medicare Eligible patients preferred . + Excellent patient assessment skills. + ... as needed at the local treatment facilities. + Assists TRICARE eligible and Medicare -eligible patients in accessing local TRICARE and Medicare providers in… 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)
- …+ Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of ... governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of the aged and… more
- Commonwealth Care Alliance (Boston, MA)
- …experience + Experience in health plan provider relations. **Experience (Desired)** + Medicare /Medicaid experience preferred . + Experience with CPT coding and ... provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including… more
- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... Experience (nice to have):** + Experience with dual-eligible (DSNP) populations preferred . **Required Knowledge, Skills & Abilities (must have):** + Strong claims… 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 ... + Clinical background with strong sales skills and track record is preferred . + Excellent interpersonal and communication skills; ability to adapt to changing… more
- Lyric (Newtown Square, PA)
- …or American Health Information Management Association (AHIMA) Certified Coding Specialist -Physician (CCS-P) + Working knowledge of pre-payment editing and payment ... demonstrated understanding of US health insurance payers including Commercial, Medicare , Medicaid (FFS and MCOs), third-party claims processing (including paper… more
- Caris Life Sciences (Irving, TX)
- …accurate, follow up on requests, and apply acquired knowledge of Medicare , Medicaid, and other Third-Party Payer requirements **Job Responsibilities** + Proficient ... in and exceeding job responsibilities of Verification/ Authorization Personnel - Specialist either through Caris or with a former employer in a similar industry. +… 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
- Community Health Systems (La Follette, TN)
- **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... are submitted in accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and state… more
