- Robert Half Office Team (Kansas City, MO)
- Description We are looking for a dedicated Licensed Medicare Specialist to join an insurance company in Kansas City, Missouri. This is a long-term contract ... possess strong sales skills, an entrepreneurial mindset, and a deep understanding of Medicare products and compliance standards. Could turn into a contract to hire… more
- SSM Health (MO)
- …risk adjustment (mortality) findings. + Maintains knowledge of Centers for Medicare and Medicaid Services (CMS) requirements related to clinical documentation and ... medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement… more
- Sumitomo Pharma (Jefferson City, MO)
- …highly motivated individual for the position of **Multi-Specialty Portfolio Specialist .** In this field-based role, the **Multi-Specialty Portfolio Specialist ... tactical, energetic and thrive in a nimble organization. The **Multi-Specialty Portfolio Specialist ** will demonstrate a sense of urgency to prepare and successfully… more
- DiPasquale Moore (Kansas City, MO)
- Health Insurance Lien Specialist / Administrative Assistant Kansas City, Missouri Competitive salary commensurate with experience! REQUIREMENTS: High School Diploma ... Job Overview: We are seeking a Health Insurance Lien Specialist to join our personal injury law firm. The...related to health insurance and their liens, including Medicaid, Medicare , and ERISA. This role is crucial in ensuring… more
- Deloitte (Kansas City, MO)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... concerns, financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of clinical… more
- Prime Therapeutics (Jefferson City, MO)
- …Come build the future of pharmacy with us. **Job Posting Title** Client Audit Specialist - Remote **Job Description** As a member of the Client Audit Management ... (CAM) team, the Client Audit Specialist is accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and/or… more
- BJC HealthCare (St. Louis, MO)
- …Information About the Role** BJC HealthCare is seeking a prior authorization specialist to assist with processing high cost infusion and injectable medication. Ideal ... to detail & maintain knowledge & competence with insurance carriers, Medicare guidelines & federal, state & accreditation agencies. **Responsibilities** + Requires… more
- TEKsystems (Jefferson City, MO)
- Healthcare Customer Service Specialist Pay: $19-$20/hour Schedule: On-site | Monday-Friday | 8:00 AM-5:00 PM CST Are you looking for a role where you can make an ... in Microsoft Office and a willingness to learn new technologies. + Knowledge of Medicare , Medicaid, and commercial health plans is a plus. + Experience with Epic and… more
- Evolent (Jefferson City, MO)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- SSM Health (MO)
- …established procedures to obtain. Ensures all coded services meet appropriate Medicare , National Correct Coding Initiative (NCCI) or payer-specific guidelines. + ... American Health Information Management Assoc (AHIMA) + Or + Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc +… more
- Banner Health (MO)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified… more
- CVS Health (Jefferson City, MO)
- …healthcare centers delivering a new model of care for adults on Medicare . By providing comprehensive and integrated care, we improve outcomes, manage costs, ... to the right specialists and OSH physicians have the needed support from specialist . You'll work with senior business and engineering leaders to lead a product… more
- Merck (Jefferson City, MO)
- **Job Description** **Oncology Sales Representative / Specialist ** Grow and accelerate your career with our Oncology Sales organization and join a team that's driven ... Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. **Qualifications:** **Minimum Requirements:** +… more
- Cardinal Health (Jefferson City, MO)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid, commercial insurance plans, and managed care preferred. +… more
- Cardinal Health (Jefferson City, MO)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email… more
- St Croix Hospice (Moberly, MO)
- …to support program growth. Additional Responsibilities + Ensures compliance with Medicare , Medicaid, and state/federal hospice regulations. + Participate in quality ... and an acceptable driving record required. Preferred + Certification in a specialist area preferred; (eg, Hospice and Palliative Nursing (CHPN), Pediatrics, or… more
- SSM Health (MO)
- …with the clinical documentation and quality teams to ensure validation of Medicare Severity Diagnosis Related Group (MSDRG), patient safety indicators, and hospital ... Health Information Management Assoc (AHIMA) + Or + Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA)… more
- ChenMed (St. Louis, MO)
- …the assigned centers. + Participates in recruiting and interviewing PCP and specialist candidates. + Partners with Clinical COE and Talent Acquisition to support ... one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board eligibility is required. + Board… more
- Truman Medical Centers (Kansas City, MO)
- …revenue cycle rolling smoothly!** Join our team as a Billing & Collections Specialist , where your attention to detail and insurance know-how will help ensure ... systems and workflows with ease and accuracy + Working with **commercial insurance, Medicare , Medicaid** , and **special programs** like a seasoned pro + Acting as… more