- Novo Nordisk Inc. (Philadelphia, PA)
- …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
- Liberty Mutual Insurance (Portland, OR)
- …Liberty Mutual has an excellent claims opportunity available. The Technical Claims Specialist II will be responsible for the oversight, evaluation, and disposition ... Unbundled cases of varying exposures and severity. The Technical Claims Specialist II provides highly specialized technical knowledge to TPAs and self-insureds.… more
- Marion County (Salem, OR)
- …be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND must ... not be excluded from participating in federal procurement (Federal Acquisition Regulation) and non-procurement activities (Executive Order No. 12549).Must possess a current driver's license in the applicant's state of residence and an acceptable driving… 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 (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
- 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
- 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 (Woodburn, OR)
- …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
- 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
- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Medicaid Billing Specialist . The Medicaid Billing Specialist is responsible for the accurate and ... timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures. Key Responsibilities include: + Completes all third party electronic and manual billing timely and… 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
- CVS Health (Franklin, TN)
- …sales team, you will learn how to help our agents grow sales in the Medicare health market while building a strong and collaborative relationship with your team. Our ... skills; Requirement Preferred Qualifications + 1-3+ years health insurance sales, focus on Medicare health services + Positive attitude and ability to be flexible in… more
- Wider Circle (Charleston, WV)
- Wider Circle is looking for a Community Engagement Specialist in West Virginia to join our circle and play a vital role in running Connect for Life, our ... groundbreaking program that connects neighbors for better health, empowering them to live longer, healthier lives while finding joy in one another's company. The successful candidate will radiate confidence and empathy, establish trust with our members, and… 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)
- …for all assigned locations. This position functions within a team environment and under general supervision. Successful individuals manage a volume of work as ... **JOB PURPOSE:** Supports the delivery of all Insurance billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing services are timely, accurate, and allow for appropriate reimbursement. Conducts all claims-related… more
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