- University of Washington (Seattle, WA)
- …- Fridays + 100% Remote **POSITION HIGHLIGHTS** The **Insurance Follow-Up Specialist , Medicare ** is responsible for the optimal payment of claims from ... (FPPS)** has an outstanding opportunity for an **Insurance Follow-Up Specialist ** to join our ** Medicare ** team **.** **WORK SCHEDULE** + 100% FTE + Mondays… more
- Providence (Renton, WA)
- **Description** **Charge Description Master Specialist \* Remote -Most states eligible As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, ... the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent...with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10… more
- Molina Healthcare (Bellevue, WA)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or ... Health or Healthcare. **Preferred Experience** 1 year of experience in Medicare and in Medicaid. **Preferred License, Certification, Association** + Certified… more
- Molina Healthcare (WA)
- …to determine if providers have sanctions/exclusions. * Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of ... Medicare . * Reviews and processes daily NPDB Continuous Query reports and takes appropriate action when new reports are found. **JOB QUALIFICATIONS** **Required… more
- Molina Healthcare (WA)
- …tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources ... to validate overpayments made to providers. * Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC) and diagnosis-related group (DRG) requests. * Enters and updates recovery applications and… more
- Spokane County (Spokane, WA)
- Housing & Community Support Specialist 1 Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4913284) Apply Housing & Community Support ... Specialist 1 Salary $44,853.72 - $62,773.89 Annually Location WA...$62,773.89 Annually Location WA 99260, WA Job Type Regular Remote Employment Flexible/Hybrid Job Number 25-00102 Department Community Services… more
- Modernizing Medicine (Olympia, WA)
- …FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring ... a driven Patient Claim Specialist who will play a pivotal role in shaping...submission process and working with insurance carriers required (eg, Medicare , private HMOs, PPOs) + Manage/ field 60+ inbound… more
- University of Washington (Seattle, WA)
- …Practice Plane Services has and outstanding opportunity for a **Claims Specialist (Patient Account Representative 2).** This position is responsible for claims ... paper) **WORKING SCHEDULE:** + Monday - Friday, Full-time + Remote **PRIMARY JOB RESPONSIBILITIES:** + Review charges that may...rejections, or forwarding the claim to a medical coding specialist for review and coding changes prior to submitting… more
- Molina Healthcare (Vancouver, WA)
- …oral and written communication skills and presentation skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education** High School ... regulations pertaining to health insurance, investigations & legal processes (Commercial insurance, Medicare , Medicare Advantage, Medicare Part D, Medicaid,… more
- Molina Healthcare (Tacoma, WA)
- …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically… more