- Novo Nordisk Inc. (Baltimore, MD)
- …to HCPs and other office staff. Relationships Externally, the Diabetes Care Specialist I (DCS I) maintains relationships with physicians, physician assistants, nurse ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Merck & Co. (New Orleans, LA)
- …with a driven, customer-focused, and collaborative team. As an Oncology Sales Representative/ Specialist , you will be a key member partnering with customers to ... Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. Qualifications: Minimum Requirements: Bachelor's… more
- Merck & Co. (West Palm Beach, FL)
- …with a driven, customer-focused and collaborative team. As an Oncology Sales - Representative/ Specialist , - you will be a key member partnering with customers to ... Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.Qualifications: Minimum Qualifications: Bachelor's Degree… more
- Walworth County (Elkhorn, WI)
- Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 ... Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, … more
- Elderwood (Buffalo, NY)
- …Medical Billing Specialist to join our team. Medical Billing Specialist ( Medicare /Managed Care) Position Overview: + Elderwood Administrative Services is ... Life Insurance, Medical, Dental, and Vision insurance Responsibilities Medical Billing Specialist ( Medicare /Managed Care): + Review remittances for potential… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate ... PBM or healthcare experience + Experience using queries + Experience with Medicare Part D **Minimum Physical Job Requirements** + Occasional non-standard hours and… more
- Wider Circle (Mcallen, TX)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their needs....Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to connect with… more
- ProMedica Health System (Toledo, OH)
- Responsible for Daily Review of outstanding and incoming Medicare Additional Development Requests (ADRs). Responsibilities: 1. Maintains updated files as changes ... Home Health & Hospice offices 5. Answers questions offices have regarding Medicare denials 6. Processes Medicare Additional Development Request 7. Researches… more
- Insight Global (Atlanta, GA)
- Job Description Prepares standardized, uniform, or customized claim forms to all Medicaid/ Medicare and CMO carriers in a timely and accurate manner. Maintains ... prepares UB-92 and HCFA-1500 claim forms for submission to Medicare , Medicaid, and Champus in a timely and accurate...other departments. Reviews, corrects and follows up on all Medicare claims via the Florida Shared System maintaining an… more
- Sunrise Senior Living (Arlington, VA)
- …(P&L) Summary reporting - Review balance sheet account reconciliations - Medicare /Medicaid billing - Adherence to Sunrise Senior Living business process controls ... **Qualifications:** - Associate degree in Accounting or related field preferred - Two (2) years experience in accounting field with exposure to accounting services within a senior housing and/or healthcare environment - To be successful you will need to have… more
- Houston Methodist (Katy, TX)
- Medicare compliance experience is preferred** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ... (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with Houston Methodist's Corporate Central… more
- Universal Health Services (Las Vegas, NV)
- …Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre-access ... management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description: Responsible for the maintenance and processing of patient accounts and hospital insurance… more
- Martin's Point Health Care (Portland, ME)
- …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... since 2015. Position Summary Job Description Position Summary: The Appeals Specialist ( Medicare or US Family Health Plan) is responsible for ensuring… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... standards, are familiar with the rules and regulations of Medicare billing and are skilled at problem solving and...correct diagnosis, and procedure codes are utilized. 4. Submits Medicare claims, including the maintenance of bill holds and… more
- New York State Civil Service (Thiells, NY)
- …the American Board of Medical Specialties (ABMS) in your specialty. OR* Medicaid and Medicare certified. OR* Current Medical Specialist 2. OR* Eligible for 70.1 ... HELP No Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… more
- Sea Mar Community Health Centers (Seattle, WA)
- …by contracted entities such as Accountable Communities of Health and Medicaid/ Medicare organizations. + The TOC Integration Specialist must maintain the ... a mandatory COVID-19 and flu vaccine organization Transition of Care Integration Specialist - Posting #26208 Hourly Rate: $25.75 Position Summary: Sea Mar Community… more
- Johns Hopkins University (Middle River, MD)
- …years coding experience with demonstrated analytical skills. + Experience with Medicare regulations. Classified Title: Coding Specialist II Role/Level/Range: ATO ... We are seeking a **_Coding Specialist II_** who will be responsible for understanding all aspects of coding, quality assurance and compliance with Federal payer… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale Agents, Benefit ... Navigators, and Medicare Support Specialists are conducting activities that are in...+ Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct Reports: Director Training… more
- Randstad US (Phoenix, AZ)
- …business and financial operations occupations + referenceAB_4525099 job details The Medicare Marketing Oversight Specialist is a compliance-minded individual who ... all materials are compliant and adhere to Center for Medicare & Medicaid Services and requirements prior to use....is a remote role. Manager seeking individuals that have Medicare Marketing material review experience. They should fully understand… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …will serve as a liaison to the Grievance and Appeals Department for Medicare Advantage appeals. The Utilization Review Specialist (LVN) is responsible for ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews,...Texas Department of Insurance (TDI) and or Centers for Medicare and Medicaid (CMS) and healthplan requirements. The Utilization… more
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