- Masonicare (Wallingford, CT)
- Medicaid Application Specialist Job Location: Wallingford Center, Connecticut Medicaid Application Specialist Masonicare Health Center - Wallingford, CT ... Day Shift / 40hrs/wk Assists residents with the Medicaid application process. Responsible for Medicaid pending,...with the Medicaid application process. Responsible for Medicaid pending, Medicaid ineligible, self-pay, skilled nursing… more
- Hartford HealthCare (Farmington, CT)
- …common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education ... and healthcare revenue cycle industry practices. The audit and education specialist will support documentation practices that comply with CMS risk adjustment… more
- Elevance Health (Wallingford, CT)
- HEDIS Compliance Audit Specialist / Manager (JR140903) **Location:** Alternate locations in addition to the posted locations may be considered. This position will ... for all lines of business with both National and Medicaid State Auditors. + Strong knowledge of the NCQA...Audits. + HEDIS audit experience preferred. + Experience with Medicaid preferred. Please be advised that Elevance Health only… more
- Prime Therapeutics (Hartford, CT)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** The Client Audit Specialist Sr is ... regulatory, client, and/or functional audit expectations. The Client Audit Specialist Sr provides consultation and strategic advice regarding audit management… more
- Wheeler Clinic (Bristol, CT)
- Family Support Specialist -Functional Family Therapy-Foster Care- Bristol Bristol, CT 06010, USA Req #1636 Wednesday, January 15, 2025 Wheeler's vision is that all ... growth at all stages of life. POSITION SUMMARY The Family Support Specialist provides direct services/case management/coordination of care to an assigned caseload of… more
- Prime Therapeutics (Hartford, CT)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** As a member of the Client Audit ... Management (CAM) team, the Client Audit Specialist , Sr is accountable for managing regulatory and/or client-initiated audits. This role maintains a thorough… more
- Hartford HealthCare (Farmington, CT)
- …to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 million in ... and monitoring of accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed. *Education* . Minimal: High school diploma… more
- Nuvance Health (Danbury, CT)
- …compliance with all third party payers including Commercial, Medicare and Medicaid programs. Credentials and re-credentials all WCHN physicians and allied ... Services and regulatory requirements for the Centers for Medicare & Medicaid services and state requirements. This includes completing Commercial payer, Medicare… more
- Prime Therapeutics (Hartford, CT)
- …management. Enforces teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate programs, trends, and ... state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each...department are achieved. + Works with Quality and Training specialist to refine and improve any processes that effect… more
- Robert Half Finance & Accounting (Hartford, CT)
- …Long Term Care (LTC)/ Skilled Nursing Facility (SNF) Accounts Receivable Specialist Location: Hartford, CT Position Type: Permanent Hourly Rate: $25/hour Benefits: ... off Overview: We are currently seeking an experienced LTC/SNF Accounts Receivable Specialist to join our client's team in Hartford. This permanent position offers… more
- Prime Therapeutics (Hartford, CT)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting to the ... in the market. **Responsibilities** + Serve as a line of business specialist responsible for managing client relationships within assigned health plan/s; effectively… more
- Fair Haven Community Health Care (New Haven, CT)
- …Supervisor will direct and manage the daily operation of the Medical Billing Specialist team to ensure the posting and collections of all billable encounters are ... changing billing environments as they occur through each payor source including Medicaid , Medicare, Commercial, and Private Pay. + Ensures that current fee schedules… more
- Trinity Health (Waterbury, CT)
- …code(s) by utilizing coding guidelines established by: + The Centers for Medicare/ Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ... Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required. Three (3) years of current acute care or… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
- National Health Care Associates (Bethel, CT)
- …Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state ... federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of… more
- Masonicare (Wallingford, CT)
- …**HOSPICE SUPPORT POSITION** Summary of Position: The Hospice Support Services Specialist is a multi-tiered position, with hospice administrative services being the ... by clinicians + Utilizes reports such as the Admission Statistics and Medicaid eligibility reports to ensure all needed documentation is requested and obtained.… more
- Hartford HealthCare (Farmington, CT)
- …which are top priority and time sensitive; Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RAC), Executive Health Resources (EHR), appeals ... feedback, orientation and training for new employees and evaluations to ROI Specialist . Manage workflow among employees to ensure maximum productivity and quality… more