- Centene Corporation (Jefferson City, MO)
- …Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the ... Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. + Provides medical leadership of all for utilization management, cost containment, and medical quality improvement… 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
- Queen's Health System (Honolulu, HI)
- …I. JOB SUMMARY/RESPONSIBILITIES: * Performs a variety of secretarial and administrative support duties. * Relieves the assigned Manager of routine duties and is ... required to make routine administrative decisions. II. TYPICAL PHYSICAL DEMANDS: * Essential: sitting, walking, stooping/bending, finger dexterity, seeing, hearing, speaking. * Frequent: standing, lifting usual weight up to 25 pounds; carrying usual weight of… more
- Sanford Health (MN)
- …The Product Manager will lead the ongoing analysis, planning, and management of their respective product line or Health Plan or Sanford Health System service and will ... **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who… more
- Southeast Health (Dothan, AL)
- …Summary Job Description Shift DayShift Details FTE 1 Type Regular Join one of Forbes 500 best mid-sized employers in America. Equal Employment Employer Southeast ... Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or… more
- NHS Management, LLC (Tuscaloosa, AL)
- …well as Company policy and procedure Directs the MDS assessment and Medicare related activities of the assigned facilities, ensuring accurate and timely assessments ... each resident. Provides case management services for certain high-risk Medicare Part A residents to ensure services are provided...with at least one year experience in MDS and Medicare related activities is required. + Must have excellent… more
- Ventura County (Ventura, CA)
- …for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal ... expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual and TAR process, they… more
- University of Southern California (Los Angeles, CA)
- …under the transplant program and revenue capture surrounding transplant services and Medicare cost report (MCR) requirements. This includes but not limited to charge ... (ie heart, lung, liver, kidney, pancreas, etc.) for commercial, Medicare , hospital-based, provider-based inpatient and outpatient transplant accounts to support… more
- Fairview Health Services (Minneapolis, MN)
- …Care Organizations as well as mandatory government requirements for enrollment with Medicare and Medicaid (for all 50 states) to ensure uninterrupted patient access ... position **Job Expectations:** **Enrollment Management** + Advanced working knowledge of Medicare , Medicaid, and third-party insurance/ payor plans. + Lead internal… more
- Luke Staffing (Butner, NC)
- …Proficient in database software. . Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to: . Medicare ... . Medicare Outpatient Prospective Payment System . Medicare Ambulatory Surgical Center Payment Rates . Medicare Part B Physician Fee Schedule . Medicare … more