- Accounting Now (Tampa, FL)
- Medicare Appeals Specialist Do you like challenging payers? Enjoy that feeling of satisfaction when your appeal is overturned? Then, this position may is right ... for you! The ideal candidate will be well versed in the Medicare managed care appeals and grievance process. Must have strong knowledge of Medicare payer… more
- Wider Circle (Reading, PA)
- Wider Circle is looking for a Bilingual Community Health Engagement Specialist in Reading, PA to join our circle and play a vital role in running Connect for Life, ... to apply!* Responsibilities You will lead the Wider Circle Medicare program in your assigned area, using the Wider...You will enroll prospective members in the Wider Circle Medicare program. and you will hold yourself accountable for… more
- Cambia Health Solutions, Inc (Portland, OR)
- …or equivalent related experience, with experience in a health care or Medicare -regulated environment preferred.Compliance Specialist III would have at least a ... projects may be assigned as needed.We are seeking an individual with Medicare compliance experience to assist in prevention, detection, and remediation activities.… more
- Creative Financial Staffing (Huntington, IN)
- …Billing Specialist : We are seeking a detail-oriented and experienced Billing Specialist with extensive knowledge of Medicare and Medicaid billing procedures ... for our healthcare services. Responsibilities of the Medical Billing Specialist : Prepare and submit claims to Medicare ...Billing Specialist : Prepare and submit claims to Medicare and Medicaid in compliance with their billing guidelines… more
- Merck & Co. (St. Paul, MN)
- …with a driven, customer-focused and collaborative team. As an Oncology Sales Representative/ Specialist , you will be a key member partnering with customers to address ... Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.Qualifications: Minimum Requirements:Bachelor's degree with… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Licensure or other certifications: Provider Credential Specialist .Preferred Educational Requirements: Preferred Experience:Other: Job Specific ... and Unique Knowledge, Skills and AbilitiesExperienced enrolling providers in the Medicare and Medicaid programsStrong written and verbal communication skills and the… more
- Novo Nordisk Inc. (El Paso, 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
- Cambia Health Solutions, Inc (Portland, OR)
- Benefit Specialist II or III, DOERemote opportunity for residents of Oregon, Washington, Idaho and Utah Primary Job PurposeThe Benefit Development Specialist II ... as benefit expert across internal departments for ongoing benefit administration.Leads the Medicare benefit design bid submission process to CMS for Medicare … more
- US Tech Solutions, Inc. (Atlanta, GA)
- Job Title: Prior Authorization Specialist Location: Fully Remote Duration: 12 months contract Job Description: The CD Representative II will work closely with ... behalf of as the client and in accordance with Medicare Part D CMS Regulations. Must apply information [provided...of Aetna as the client and in accordance with Medicare Part D CMS Regulations. . Must apply information… more
- Creative Financial Staffing (Pittsburgh, PA)
- …and Medicare documents. PREFERRED QUALIFICATIONS FOR MULTISTATE PAYROLL TAX SPECIALIST ROLE: 4+ years of experience in payroll accounting/ TAX filing environment ... MULTISTATE PAYROLL TAX SPECIALIST ABOUT THE COMPANY: Our client is one...for 11,000 employees. OVERVIEW OF THE MULTISTATE PAYROLL TAX SPECIALIST ROLE: Prepare and monitor processes for payroll and… more
- Marion County (Salem, OR)
- Join the Marion County Adult Behavioral Health peer team as a Peer Support Specialist and use your lived experience to support others! Come along side those in our ... as they travel on their mental health recovery journey. The Peer Support Specialist provides recovery-oriented supports in a one-on-one and group setting and helps… more
- Accounting Now (Tampa, FL)
- We are hiring Revenue Cycle Specialists who excel in Medicare Collections for our Revenue Operations Department. Specialists in this role will contact Medicare ... initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; includes but is not limited to remit review, calling… more
- Accounting Now (Sarasota, FL)
- The Reimbursement Specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all ... receivable and patient service revenue records and reports.The Reimbursement Specialist :* Compiles, reviews, and processes billing and accounts receivable documents,… 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 policies, and product-specific policies; procedures and… more
- Rose International (Monroeville, PA)
- …Hiring Organization: Rose International Position Number: 462898 Job Title: Billing Specialist Job Location: Monroeville, PA, USA, 15146 Work Model: Onsite Employment ... Excel, PowerPoint, Outlook and good typing skills. Position Summary * Billing Specialist I will be responsible for qualifying, preparing and submitting claims to… more
- Healthcare Recruitment Counselors (Conshohocken, PA)
- Invoicing Specialist Conshohocken, PA We are looking for a Revenue Invoicing Specialistto join our group full time in Conshohocken, PA. This position is a full-time ... and motivated individual. In collaboration with the billing department, the Invoicing Specialist is responsible for daily and continuous monitoring of all payments… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …health of our communities. About the Role:Job SummaryThe Population Health Specialist contributes to the multi-disciplinary population health team approach by ... to support performance in our value-based contracts. The Population Health Specialist works cross-functionally with others internally and externally to support data… more
- Southeast Georgia Health System (Brunswick, GA)
- …and are the key to our culture of Service Excellence. As a Coding Specialist in our Medical Records department, you will accurately assigns ICD-10-CM, CPT code, ... ER charges for accuracy while assigning codes for billing. Adhering to the requirements of the Centers of Medicaid & Medicare Services and other regulatory agencies. more
- University of New Mexico (Albuquerque, NM)
- …eligibility for financial assistance (Including Medicaid, SCI, UNM Care, Commercial, Medicare , PHS/Indian Health Service, Salud, Self Pay)* REFERRALS - Maintain a ... information for Patient Financial Services. Do the Census reports for PBX. Work Medicare secondary payor report as assigned * RELATED WORK - Perform related duties… more
- Creative Financial Staffing (Brooklyn, NY)
- Title: Part Time Credentialing Specialist ABOUT THE COMPANY: Our client is a leading non-profit organization who's mission is focused around providing social support ... files are updated timely according to the schedule published by CMS Medicare / Medicaid and Managed Care Organizations regulations. Ensure contracted Managed Care… more
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