- U of C NORC (Bethesda, MD)
- …surveys, interviews, focus groups, and site visits; secondary data such as Medicare anRESPONSIBILITIES:Play a lead role in growing NORC's portfolio in the area ... 5 years of policy project managementExpert knowledge of Traditional Medicare , Medicare Parts C & D, and...include, but are not limited to: Generously subsidized health insurance , effective on the first day of employment Dental… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …trade association, think tank, or pharmaceutical company required- Expertise in Medicare , Medicaid, 340B, and/or commercial insurance market required- Strong ... knowledge of federal legislative and rulemaking processes; experience researching and analyzing complex public policy issues required- Expertise in oncology and physician-administered medicines preferred Travel Ability to travel up to 20% Travel for business… more
- Accounting Now (Tampa, FL)
- …initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; includes but is not limited to remit review, ... We are hiring Revenue Cycle Specialists who excel in Medicare Collections for our Revenue Operations Department. Specialists in this role will contact Medicare … more
- Accounting Now (Tampa, FL)
- …zero payments MINIMUM REQUIREMENTS/QUALIFICATIONS:3 to 5+ years of recent experience writing insurance appeals and pursuing Medicare for collection on behalf of ... Medicare Appeals Specialist Do you like challenging payers?...The ideal candidate will be well versed in the Medicare managed care appeals and grievance process. Must have… more
- Cambia Health Solutions, Inc (Renton, WA)
- …Manager! Preferred Key Experience:Thorough knowledge of sales techniques and insurance laws/rules, including CMS Medicare rules/practices. Understanding of ... disability) in the state or states where business is conducted.Valid Health Insurance license.Complete AHIP or NAHU Medicare certification training within 2… more
- Novo Nordisk Inc. (Suffern, NY)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... employee benefit programs including medical, dental and vision coverage; life insurance ; disability insurance ; 401(k) savings plan; flexible spending accounts;… more
- Dexian - DISYS (St. Louis Park, MN)
- …complaint handling, and quality systems.Maintain knowledge of HIPAA and privacy laws, Medicare policies and insurance guidelines.Be aware Client past, present, ... and future products and services.Document request requirements, timeline, and communicate to patients, field representatives, and customers as needed.Actively participate in process improvement.Work with Quality Post Market team to ensure timely reporting of… more
- U of C NORC (Bethesda, OH)
- …of all aspects of health care delivery, from private marketplaces and employer-sponsored insurance to Medicare and Medicaid; from large health care systems to ... Senior Fellow to direct program and policy projects related to Medicare and/or Medicaid, including projects involving policy analysis, focus groups, literature… more
- Accounting Now (Sarasota, FL)
- …claims, performing all necessary follow-up to ensure collection of payments from Medicare /Medicaid and Insurance providers. * Completes billing audits to ensure ... Specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all accounts… more
- Merck & Co. (North Wales, PA)
- …agency partners and focus on customer segments (eg health plans, Medicare , Medicaid, federal, pharmacy, hospital, Group Purchasing Organization s, etc.). Primary ... - $285,800.00Available benefits include bonus eligibility, health care and other insurance benefits (for employee and family), retirement benefits, paid holidays,… more
- Maury Regional Health (Columbia, TN)
- …competencies should include: Working knowledge of office equipment and computers, Medicare , TennCare, healthcare insurance payment methodologies, and financial ... assistance policies and proceduresGeneral knowledge of hospital payment plan guidelines, hospital clinical departments and service protocols and healthcare coding practicesStrong negotiation and collection skillsAbout Maury Regional Health: Maury Regional… more
- Insmed Incorporated (Bridgewater, NJ)
- …including but not limited to group medical, dental, vision, life insurance , short- and long-term disability, Health Savings Accounts, Flexible Spending Accounts, ... compliance requirements, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, Medicare , and Social Security and DOL requirements. Experience in the day-to-day… more
- Mindlance (Atlanta, GA)
- …of components and data between components. Business System Analyst - Healthcare - Health Insurance - EDI, HL7, Medicare / Medicaid - IT - Information Technology ... Experience with Agile Methodology . Experience running SQL queries . Healthcare / Health Insurance - EDI, HL7, Medicare / Medicaid . Healthcare claims processing more
- Phaxis (New York, NY)
- …clearly and precisely with providers during the querying process. . Knowledge of Medicare , Managed Care and Commercial Insurance guidelines for coding E&M and ... medical records as it relates to billing, coding, and insurance denials. . Must be able to work denials...denials. . Must be able to work denials for insurance follow-up and work collaboratively with Accounts Receivable Team.… more
- Mayo Clinic (Mankato, MN)
- …customer service. Must be able to work independently as needed. Knowledge of Medicare , Medicaid and/or private insurance billed preferred with attention to ... equipment in accordance with provider prescriptions. Gathers registration and insurance information accurately and efficiently, and processes information for payment… more
- Maury Regional Health (Columbia, TN)
- …guidelinesGeneral knowledge of healthcare coding practicesWorking knowledge of healthcare insurance payers, including Medicare , TennCare, Workers Comp, TriCare, ... knowledge of office equipment and computerWorking knowledge of healthcare insurance payment methodologiesWorking knowledge of financial assistance policies and… more
- Globe Life Inc. (Mckinney, TX)
- …Good presentation skills. Required Knowledge & Experience High school diploma or equivalent. Insurance or sales experience. Medicare experience/knowledge. ... & Responsibilities Globe Life General Agency Division is seeking an experienced insurance professional to grow sales through total producers, Globe Life & Accident… more
- Globe Life Inc. (Mckinney, TX)
- Life Insurance Underwriter l - Remote Primary Duties & Responsibilities At Globe Life we are always looking to connect with talented Life Insurance Underwriters ... understanding of our organization's structure as well as extensive knowledge of Medicare and other health/life products within Globe Life Primary Duties &… more
- Compass Health Network (Union, MO)
- …cycles for process ImprovementKeep informed of, and communicate, any changes to Medicare , Medicaid, and any Private Insurance Carriers regarding covered services ... and pre-authorization processes as they relate to provision of services and quality patient careEnsure that all incidents are documented and reportedComplete annual performance reviewsParticipate in the recruitment, hiring, and training of nursing staffEnsure… more
- Compass Health Network (Union, MO)
- …for process Improvement* Keep informed of, and communicate, any changes to Medicare , Medicaid, and any Private Insurance Carriers regarding covered services ... and pre-authorization processes as they relate to provision of services and quality patient care* Ensure that all incidents are documented and reported* Complete annual performance reviews* Participate in the recruitment, hiring, and training of nursing staff*… more
