- 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
- Alternate Solutions Health Network LLC (Fairfax, VA)
- …the field.Policies: Review clinical documentation and maintain current knowledge of all Medicare / Federal/ Insurance / Company and Hospital guidelines, policies ... they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the...health services.WHAT WE OFFER:We provide medical, dental, and vision insurance with flexibility for you to select what works… 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. (Plainsboro, NJ)
- …delivers a deep understanding of landscape, changes, and trends in the Commercial, Medicare , Medicaid, Health Insurance Exchange (HIX) channels across all NNI ... therapeutic areas, with a focus on the Medicaid channel. Supports execution across the healthcare ecosystem using an enterprise-wide mindset while ensuring a consistent and focused approach to NNI opportunities in the future. Focuses on the broader portfolio,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …deadlines and the needs of referral sourcesKnowledge of case management, insurance , Medicare and MedicaidMeets mandatory continuing education requirementsMust be ... as needed to maximize the ability to admit patients with private insurance .Works with the organization's public relations team to optimize branding and information… 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
- 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
- Alternate Solutions Health Network LLC (Columbus, OH)
- …for our patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and ... Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation,...in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works… more
- Alternate Solutions Health Network LLC (Columbus, OH)
- …for our patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and ... Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation,...in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works… 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
- 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
- Fidelity TalentSource LLC (Westlake, TX)
- …of the Carrier Management Team as we look to help millions of Americans make Medicare decisions. You will support our team as we look to expand our business ... include analyzing data and market trends to meet business objectives, research on insurance carriers and state regulations, assisting in support to our sales team,… more
- Cambia Health Solutions, Inc (Portland, OR)
- …WAWHO WE NEEDThe Product Implementation Manager (I or II) ensures that new Medicare Advantage products and product enhancements are implemented and delivered to the ... market timely, in compliance with Centers of Medicare and Medicaid Services (CMS) and First Tier, Downstream,...projects. At least 1 year of experience installing new insurance products and enhancements.Or an equivalent combination of education… more
- Creative Financial Staffing (Auburn, IN)
- …and Medicaid in compliance with their billing guidelines and regulations. Verify patient insurance coverage and eligibility for Medicare and Medicaid. Review and ... are seeking a detail-oriented and experienced Billing Specialist with extensive knowledge of Medicare and Medicaid billing procedures to join our team. As a Billing… more
- U of C NORC (Tacoma, WA)
- …participants unannounced and without appointmentsValid driver's license, automobile insurance , and access to reliable transportationAvailable to work days, ... a formal Salary Review Committee (SRC). Other Important Details to Note The Medicare Current Beneficiary Survey (MCBS) is a continuous, multipurpose survey of a… more
- Everence (Goshen, IN)
- …policy and strive to retain membership.Provide coverage options for Medicare Supplement products including pricing.Maintain an understanding of Everence third-party ... administration products and services; Medicare and Medicare Supplement plans; Medicaid; corporate...Abilities:Ability to obtain and maintain a license in Health insurance Excellent verbal and written interpersonal and communication skills… more
- Alternate Solutions Health Network LLC (Detroit, MI)
- …for our patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and ... Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation,...in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works… more
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