- Community Health Systems (La Follette, TN)
- …are submitted in accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and ... **Job Summary** The Medicare Billing Specialist is responsible for...Ensures documentation and billing practices align with audit and compliance expectations. + Escalates unresolved billing issues or delays… more
- Cleveland Clinic (Cleveland, OH)
- …of the most respected healthcare organizations in the world. As a Research Medicare Coverage Analysis Specialist , you will be responsible for determining ... team, patient financial services, clinical research billing office, IRB and research compliance related to Medicare coverage analysis issues and determinations.… more
- Robert Half Accountemps (Fort Wayne, IN)
- Description We are looking for a detail-oriented and organized Medicare Billing Specialist to join our team in Fort Wayne, Indiana. This role involves managing ... Medicare , Medicaid, and commercial insurance claims with precision and compliance , ensuring timely reimbursement and efficient billing operations. As this is a… more
- Commonwealth Care Alliance (Boston, MA)
- …reimbursement, public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical Coding, Compliance , Payment Integrity and Analytics ... under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing… more
- SUNY Upstate Medical University (Syracuse, NY)
- …resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance . Work closely with clinical teams across seven Primary ... is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare ...Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care… more
- 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 ... sales skills, an entrepreneurial mindset, and a deep understanding of Medicare products and compliance standards. Could turn into a contract to hire opportunity.… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... Los Angeles and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care **Department** : MNS Managed Care **Business… more
- Hartford HealthCare (Farmington, CT)
- …Up/Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of monitoring ... guidelines, keeps abreast of all regulations and standards to ensure compliance with governmental/regulatory agencies or third-party payers, responsible for Epic… more
- Ventura County (Ventura, CA)
- …and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement ... Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related...with billing and processing claims for timely reimbursement and compliance with Medi-Cal, Medicare , and general insurance… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The **Physician Practice Compliance Specialist ** is responsible for assuring on-going compliance by ... Meridian Health and for affiliated services. The Physician Prac Compliance Spec assures the integrity of the physician practice...regulatory requirements including but not limited to those of Medicare , Medicaid and the State of New Jersey. This… more
- Fairview Health Services (Shoreview, MN)
- …Pharmacy, Shoreview MN **Hours** : 80 hours bi-weekly **Schedule** : day The Compliance and Licensing Specialist is responsible for preparing and submitting new ... This position will work directly with both the ClearScript and FPS Compliance and Licensing Managers. Additional responsibilities include assisting the Managers in… more
- University of Southern California (Alhambra, CA)
- …meetings to evaluate department charge processes to improve charge capture and coding compliance . The Senior RI Specialist also coordinates with Keck Medical ... provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date....compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is… more
- MetroLink (Los Angeles, CA)
- Social Media Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5183448) Apply Social Media Specialist Salary $63,277.00 - $98,080.00 ... Pacific + Description + Benefits + Questions SUMMARY The Social Media Specialist supports and enhances positive exposure and corporate image for Metrolink/SCRRA by… more
- Centene Corporation (Tallahassee, FL)
- …**Work cross-functionally & interdepartmentally to research, develop and maintain Medicare AEP materials. Participate in workgroup(s) to implement process ... Process Flowcharts.** **Position Purpose:** Responsible for development and production of Medicare regulatory required and benefit related materials to ensure … more
- NHS Management, LLC (Daytona Beach, FL)
- …experience along the way. We are in search of a qualified Finanical Specialist Assistant: To perform the successful and timely completion of assigned business and ... resolution and development of business office goals and objectives. + Strives for compliance with internal controls and state and federal regulations. + Ability to… more
- Logan Health (Kalispell, MT)
- …about helping people navigate the world of healthcare insurance? As a Financial Clearance Specialist at Logan Health, you'll play a key role in ensuring our patients ... insurance companies and employers; ensure demographic data is correct. + Cross-reference Medicare accounts and coordinate benefit statuses as needed. + Determine and… more
- Sumitomo Pharma (Kansas City, KS)
- …dynamic, highly motivated individual for the position of **Multi-Specialty Portfolio Specialist /Associate Portfolio Specialist .** This position is being posted ... Associate level role. In this field-based role, the **Multi-Specialty Portfolio Specialist /Associate Portfolio Specialist ** will focus on achieving sales goals… more
- University of Washington (Seattle, WA)
- …researchers bringing important new therapies to our patients in compliance with evolving regulatory requirements. **Position Purpose** **:** Clinical Research ... Billing Specialist position will enable the Clinical Research Billing Manager...Trials Office is a central clinical research operation with compliance responsibilities and services across the vast portfolio of… more
- Hartford HealthCare (Farmington, CT)
- …CPT, HCPCS and ICD-10 coding conventions required. Experience with interpreting Medicare , Medicaid and third-party billing and compliance regulations necessary. ... common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education… more
- Louisiana Department of State Civil Service (LA)
- …Conduct on-site surveys and complaint investigations of healthcare facilities to determine compliance with state and federal regulations, including Medicare and ... Medical Certification Specialist 1 - 2 (Field Office 2) Print...Certification Specialists 1-2to help ensure the quality, safety, and compliance of healthcare across our state. The Health Standards… more
Related Job Searches:
Compliance,
Compliance Specialist,
Medicare,
Medicare Compliance,
Medicare Specialist,
Specialist