- Novo Nordisk Inc. (Mckinney, TX)
- …level impact Demonstrates understanding 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… more
- Ensemble Health Partners (Bangor, ME)
- …are available:** Full Time* Part Time* PRN*The Opportunity:*The Patient Access Specialist is responsible for performing admitting duties for all patients admitted ... and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms,… more
- Pressley Ridge (Ona, WV)
- …50% employer matchPrescription coverageDental and vision plansPatient advocate and Medicare specialists available at no costDependent Care Flexible Savings ... year)Tuition reimbursementEmployee Assistance Program (EAP)Position SummaryThe Mental Health Support Specialist (Teacher Counselor) assists in the developing, implementing, and… more
- Atrium Health (Charlotte, NC)
- …strategy, vision, mission, and goals. Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides ... and understanding of severity based DRG systems; All-Patient Refined and Medicare Severity (APR-DRG), Medical Severity Diagnostic Related Group System (MS-DRG) and… more
- Marion County (Salem, OR)
- …use disorders who are under the jurisdiction of the PSRB.A Mental Health Specialist on this team provides individual and group therapy, case management, and ... education and training to other staff. *A Mental Health Specialist 2 may have a higher caseload and/or more...from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health… more
- Marion County (Bellvue, CO)
- …if hired. AUTO- PROMOTEANDSPECIALCONDITIONSOFCLASSIFICATION Individuals hired as a Mental Health Specialist 1 will auto-promote, as noted in Article 4 in the ... Marion County personnel rules, to the classification of Mental Health Specialist 2 upon satisfactorily completing one-year, post master's degree, of service as a… more
- Rotech Healthcare Inc. (Denton, TX)
- …accurate and timely manner Provides technical assistance to customers Verifies Medicare , Medicaid, and private insurance coverage information and maintains expertise ... assignedWork Rate and Performance ExpectationsAll work assigned to the CSR Processing Specialist is measured by the Manager's quantity and quality/accuracy of work… more
- Mid Michigan Health (Midland, MI)
- …of hire or transfer MA CERT - Medical Assistant Required As required by Medicare and Medicaid Services (CMS) to be employed through MyMichigan Health all Medical ... an accredited organization. Medical First Responder, Emergency Medical Tech Basic/ Specialist , or Paramedic though the State of Michigan. Registered Radiologic… more
- Marion County (Salem, OR)
- …hired. AUTO-PROMOTE AND SPECIAL CONDITIONS OF CLASSIFICATIONIndividuals hired as a Mental Health Specialist 1 will auto-promote, as noted in Article 4 in the Marion ... County personnel rules, to the classification of Mental Health Specialist 2 upon satisfactorily completing one-year, post master's degree, of service as a Mental… more
- Marion County (Salem, OR)
- …hired.AUTO-PROMOTE AND SPECIAL CONDITIONS OF CLASSIFICATIONIndividuals hired as a Mental Health Specialist 1 will auto-promote, as noted in Article 4 in the Marion ... County personnel rules, to the classification of Mental Health Specialist 2 upon satisfactorily completing one-year, post master's degree, of service as a Mental… more
- Marion County (Seattle, WA)
- …by offering bilingual/bicultural services at our Woodburn office. The Mental Health Specialist in this position will provide crisis assessments to individuals in ... be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND must… 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
- 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
- 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
