- Robert Half Accountemps (Greenville, SC)
- Description We are looking for a detail-oriented Medical Billing Specialist to join our team in Greenville, South Carolina. This Contract-to-Permanent position ... court, to recover outstanding accounts. * Compile and maintain Medicare bad-debt cost reports by tracking billings and monitoring...* Adhere to policies and procedures to maintain operational compliance and report any compliance concerns. *… more
- Prime Healthcare (Harlingen, TX)
- Overview We are seeking a Clinical Documentation Specialist Trainee , sometimes referred to as a Medical Records Documentation Analyst - Trainee , or CDS Trainee in ... clinical care provided. CDS Trainee's work supports accurate coding, billing, compliance , and patient care data. Shift's Available: Days Employment Type: Full-Time… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA-Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team in a ... number of ways to ensure compliance on activities related to member complaints in the...operational processes. Complaints Monitoring: + Supports daily monitoring of Medicare and EOHHS's Complaints Tracking & Management (CTM) Module… more
- Robert Half Accountemps (Nashua, NH)
- Description We are looking for a dedicated Patient Access Specialist to join our team in Nashua, New Hampshire. In this Contract-to-permanent role, you will play a ... admissions and registration processes for hospital patients while maintaining compliance with organizational policies and regulatory standards. This position… more
- Highmark Health (Charleston, WV)
- …organizations and leaders. + Build an understanding of SDOH, Managed Care issues, Medicare , Medicaid, Dual Special Needs and delivery of those services to the ... with outside entities regularly to learn of community needs. + Collaborate with Medicare Sales team to identify enrollment opportunities. + Other duties as assigned… more
- US Tech Solutions (May, OK)
- …requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided through multiple channels ... and Appeals Learning Advocates and management team as needed. Must maintain compliance at all times with CMS and department standards. Position requires schedule… more
- Trinity Health (Ann Arbor, MI)
- …hire and ongoing as new systems and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the ... and skills competencies such as the Certified Revenue Cycle Specialist Professional (CRCSP) through the American Association of Healthcare Administrative… more
- Sanford Health (Bemidji, MN)
- …- $46.50 **Job Summary** Collaborates with operational and executive leadership ensuring compliance with regulatory bodies to include, but not limited to: Department ... of Health (DOH), Center for Medicare and Medicaid (CMS) Conditions of Participation, and standards...and standards of The Joint Commission (TJC). The Accreditation Specialist works with staff, evaluating care, to ensure regulatory… more
- SSM Health (Fond Du Lac, WI)
- …written orders and prior authorization for appropriate equipment/supplies. + Ensures compliance with Medicare , Medicaid and Accreditation Standards. + Works ... SSM Health is seeking a **Medical Equipment and Supply Specialist ** to join our **Continuum of Care** team at...equipment and supply orders * Ensure timely documentation and compliance * Collaborate with providers, payers, and internal teams… more
- Bluestone Physician Services (Stillwater, MN)
- …in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured ... join our team as a Clinical Documentation Improvement (CDI) Specialist . The primary responsibility of this role is...to providers to facilitate improved documentation practices and ensure compliance with coding standards. + Act as a resource… more