- Teresian House (Albany, NY)
- …Ensuring accurate and timely billing of all services rendered to residents in compliance with NYS Medicaid, Medicare , Mafae Care Organizations (MCO's) and ... Teresian House in your choice for employment! The Nursing Home Billing Specialist is responsible for: + Timely insurance verification of all referrals for… more
- Magellan Health Services (Albuquerque, NM)
- The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... Presbyterian Health Plan with Medicaid, Medicare , and Commercial lines of business. This role includes...updates, Letters of Direction, and other required modifications. The specialist will also ensure all contract updates are compliant… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Jul 31, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the financial management...portals. + Maintain a working knowledge of OMH, OASAS, Medicare , Medicaid, Medicaid Managed Care and other payers' billing… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …and Pathophysiology/Disease Processes/Pharmacology required. . Works claim edits identified along with compliance of the Medicare Coverage Determinations ( MCD ) ... journey. We invite you to apply today. SUMMARY OF JOB The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines,… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …coding (https://www.aapc.com/certification/medical-coding-certification.aspx) guidelines and regulations including compliance and reimbursement - allowing a CRC ... to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates concurrent, prospective and retrospective medical and… more
- University of Delaware (Newark, DE)
- Retirement Specialist Job no: 502284 College / VP Area:Office of Human Resources Work type: Staff Location: Newark, DE/Hybrid Categories: Human Resources, Full Time ... general direction of the Human Resources Benefits Director, the Retirement Specialist is responsible for administering retirement plan counseling and preparing… more
- Cedars-Sinai (Marina Del Rey, CA)
- …workdays per week** , depending on departmental needs. The **Patient Safety Specialist ** is a clinical expert entrusted with the oversight and strategic management ... The role encompasses the meticulous oversight and continuous evaluation of Centers for Medicare & Medicaid Services (CMS) metrics, including but not limited to Core… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 System Support-Facility Coding **Scheduled ... be eligible for a sign-on bonus!**_** **JOB SUMMARY** The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the… more
- Prime Therapeutics (Lansing, MI)
- …specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM ... every decision we make. **Job Posting Title** Medication Therapy Management Specialist - Remote **Job Description** The Medication Therapy Management (MTM) Service… more
- FlexStaff (Chappaqua, NY)
- …for leadership and operational excellence? FlexStaff is seeking a dynamic Claims Management Specialist for our client to oversee their Medicare , Medicaid, and ... **Req Number** 167353 Claims Management Specialist Are you a seasoned medical insurance professional with a passion… more