- National Health Care Associates (Marlborough, CT)
- …dedication is valued and appreciated. We invite you to join our team! **-** ** Medicaid Specialist ** **24 Hours Part Time** **Marlborough Health Care Center** The ... for booking and collecting estimated PPA on pending residents. Upon approval Medicaid Specialist will update census and payor tree. Bill all retro PPA changes… more
- 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
- 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
- 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
- Evolent (Hartford, CT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass determining ... to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist , Credentialing Operations team collaborates with the Provider Data… more
- Brookdale Senior Living (Hartford, CT)
- …as one of America's Greatest Workplaces for Diversity Full Time Traveling Sales Specialist Supporting CT, MA & NH: Hartford, Boston & surrounding markets Brookdale. ... record of generating and closing qualified leads. As our Traveling Sales Specialist you'll partner you will be partnering with community Executive Directors and… more
- Wheeler Clinic (Bristol, CT)
- Family Support Specialist -Functional Family Therapy-Foster Care- Bristol Bristol, CT 06010, USA Req #1636 Friday, December 13, 2024 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
- Highmark Health (Hartford, CT)
- …medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation ... Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None… more
- Novo Nordisk (Hartford, CT)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... Coverage Gap, Copays, and Deductibles and the impact on customer decisions + Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business… 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
- 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
- Humana (Hartford, CT)
- …able to accommodate EST time zone** **Preferred Qualifications** + SFMC Email Specialist Certification + Experience working in an Agile framework + Experience ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… 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