- 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 ... internal and external partners, assisting with the administration of Medicare programs, and other projects assigned to support... Medicare programs, and other projects assigned to support the Medicare Adherence team. Essential Functions… 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 ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...specialized team who will focus on educating existing Medicare members on available plan offerings to help meet… more
- Centene Corporation (Raleigh, NC)
- …in the ongoing oversight, analysis, review, and approval of all beneficiary-facing Medicare materials. In addition, may also support the department with ... anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of regulatory requirements… more
- CVS Health (Monroeville, PA)
- …is just as important as what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at CVS Health to feel empowered by ... to patients, healthcare professionals and insurance carriers. We will support you by offering all the tools and resources...parking. **What you will do** + Timely response to Medicare audits and appeals + Research and gather the… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …discovering irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale ... Agents, Benefit Navigators, and Medicare Support Specialists are conducting activities that are in compliance with CMS/DOH and company guidelines by directly… 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
- The Cigna Group (Bluffton, SC)
- …5+ years of experience working with Medicare Advantage, Medicare -Medicaid. Plan (Dual-Eligible) and/or Medicaid. **Certified Coding Specialist required.** ... S/he will promote an enterprise-wide culture of compliance and provide first-rate support within the Compliance Department and across the business units. + Reports… more
- The Cigna Group (Bloomfield, CT)
- …and continuity of care management. + Identify customer needs, coordinate and support planned and unplanned transitions, conduct post discharge follow up contact, ... which may include primary care physician and specialist appointment scheduling. + Provide clinical assessments, health education, and utilization management to… more
- Ventura County (Ventura, CA)
- …for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related duties as required. Medical ... Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary… more
- Medical Mutual of Ohio (OH)
- …achieve their best possible health and quality of life. Provider Contract Support Specialist Under general supervision, supports provider contracting department ... and maintains contract management files and documentation. Senior Provider Contract Support Specialist Under limited supervision, supports provider contracting… 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 (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
- 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
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- …Family-Like Team, and Atmosphere! We are seeking an experienced Clinical Reimbursement Specialist to support our MDS/MMQ teams in Massachusetts. The Clinical ... CLINICAL REIMBURSEMENT SPECIALIST / MULTI FACILITY We offer competitive compensation and...are not limited to: + Provides consultation, training and support concerning the MA Medicaid, Medicare , Managed… more
- New York State Civil Service (Thiells, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...in Canada AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if… more
- The Wesley Community (Saratoga Springs, NY)
- Billing Specialist Full Time | Day Shift | 8am-4:30pm | Monday-Friday ** Pay rate starting at $ 20 /hour ** The Wesley Community is no longer requiring employees to ... the heart. What will I do as a Billing Specialist for The Wesley Community? + Process mail and...+ Prepare and produce all Wesley primary billing for Medicare , HMO, VA, MLTC as well as secondary Medicaid… 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...+ Gather Security Metrics collected from security tools. + Support and Administer Security applications and implementations of technologies.… more
- New York State Civil Service (Tupper Lake, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 (NY HELPS) Occupational Category Health Care, Human/Social Services Salary ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...in Canada, AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if… more
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