- 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
- 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 (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 ... of Microsoft Office + Must work Central Time hours ** Preferred Qualifications** + 1 to 2 years Medicare sales experience + Medicare call center experience… more
- CVS Health (Monroeville, PA)
- …in a professional manner; both verbally and written + Certified Billing and Coding Specialist (CBCS) preferred but not required . **Education** + High School ... also provides free parking. **What you will do** + Timely response to Medicare audits and appeals + Research and gather the appropriate documentation to form… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... follow us on Facebook, Twitter and LinkedIn. **Responsibilities** The Chart Review Specialist primary responsibility is to review, analyze and report on FCHP patient… more
- PruittHealth (Norcross, GA)
- …AA/AS in Accounting or Business (or Equivalent Education / Experience) preferred . **MINIMUM EXPERIENCE REQUIRED:** * Demonstrates experience and a proven track ... record in Insurance Claims in a medical setting of moderate size and complexity, information systems, and patient accounting applications, as typically acquired in1-3 years of patient accounting / medical billing positions * Experience in month end close… more
- 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 ... caseload of 65 including review of claims identified for Medicare Set-Aside. **What you will do** + Manage an...Rehabilitation Registered Nurse + CDMS - Certified Disability Management Specialist + COHN - Certified Occupational Health Nurse or… more
- 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 ... training in Case Management + 1-2 years of oncology nursing experience + Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager … more
- 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 ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- 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 ... achieve their best possible health and quality of life. Payment Control Specialist I Processes routine corporate cash receipts and adjustments. Balances daily cash… more
- Medical Mutual of Ohio (OH)
- …metrics. **_This position has the option to work remote; Ohio residents preferred ._** **Responsibilities** **Provider Credentialing & Data Specialist I** + ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under direct supervision,… more
- 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 ... best possible health and quality of life. Provider Contract Support Specialist Under general supervision, supports provider contracting department by developing and… more
- 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
- Medical Mutual of Ohio (Dublin, OH)
- … preferred . + Knowledge of NIST and CIS practices and frameworks preferred . **IT Security Specialist II** Education and Experience: + Bachelor's degree ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....+ Knowledge of NIST and CIS practices and frameworks preferred . **IT Security Specialist III** Education and… more
- The Wesley Community (Saratoga Springs, NY)
- …in medical billing required. + Experience in a Skilled Nursing facility billing preferred . + Experience in Medicare , Medicaid and Commercial insurance plans ... Billing Specialist Full Time | Day Shift | 8am-4:30pm...+ Prepare and produce all Wesley primary billing for Medicare , HMO, VA, MLTC as well as secondary Medicaid… more
- 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 ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
- NHS Management, LLC (Birmingham, AL)
- …experience along the way. We are in search of a qualified Finanical Specialist Assistant: To perform the successful and timely completion of assigned business and ... + Performs assigned billing functions as directed by Financial Specialist or Administrator in the completion of all routine...related tasks, including but not limited to: + Medicaid, Medicare and/or secondary billing + Assist with evaluation and… more
- ChenMed (Detroit, MI)
- …5 days. + Orders have been approved (when needed). + Schedules patient ( Preferred Providers List of Specialist ) and notifies them of appointment information, ... with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population… more
- Elderwood (Buffalo, NY)
- …is on-site! Pharmacy Billing Specialist Position Overview: The Pharmacy Billing Specialist is responsible for electronic billing of Medicare , Medicaid and ... Shift: Days - 8a.m.- 4 pm or 9a.m.-5p.m. Responsibilities Pharmacy Billing Specialist Responsibilities: + Electronic billing of Medicare , Medicaid and Third… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Hospital Coding Specialist II (Remote) **Cost Center:** 101651098 HIM-Facility Coding **Scheduled Weekly ... Description:** **JOB SUMMARY** **Hospital Outpatient Coding:** The Hospital Coding Specialist ll reviews clinical documentation and diagnostic results as appropriate… more