- 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
- 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
- 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
- Baystate Health (Springfield, MA)
- …setting is required. Preferred Expereince: Experience and knowledge regarding Medicare, Medicaid , and/or commercial payer benefits is preferred, along with previous ... utilization of systems such as OnCore, Cerner, and Sorian. Familiarity with research billing, or research billing compliance a significant plus. Working knowledge and experience with clinical trial regulatory documents such as protocols, informed consent… 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
- 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 (West Hartford, 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
- 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
- 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