- Fairview Health Services (Minneapolis, MN)
- **Job Overview** **Job Summary:** The Pharmacy Operations - Access Specialist will have strong knowledge of insurance, revenue cycle, pharmacy services and health ... State Law (not currently in effect). + Understand all third party and Medicare /Medicaid regulations and billing guidelines as they pertain to pharmacy and medical… more
- Staffing Solutions Organization (Albany, NY)
- …of our clients and the people they serve. **Principal Healthcare Data Specialist 1 - Albany, NY** **Division of Eligibility & Marketplace Integration (DEMI)** ... the MECM implementation; + Apply knowledge and experience of Medicaid regulations, program policy, current system design and integration with other systems to… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining ... cycle objectives + Stay informed on product information, changes in Medicare /State/Contract funding procedures, and updates in policies and procedures + Contribute… more
- TEKsystems (West Des Moines, IA)
- About the Role We are seeking a detail-oriented and dependable Cash Posting Specialist to join our team on a contract basis. This role is responsible for processing ... file exchanges to ensure accurate data posting. + Process Medicare RAC recoupments and interest to support timely appeals....and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
- Texas Health Resources (Arlington, TX)
- Admissions Specialist I _Bring your passion to Texas Health so we are Better + Together_ Work Location: Texas Health Arlington Memorial, 800 West Randol Mill Rd., ... elements are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter of Non-Coverage).… more
- Aveanna Healthcare (St. Cloud, MN)
- Home Health RN Traveling Clinical Management Specialist ApplyRefer a FriendBack Job Details Requisition #: 207759 Location: St. Cloud, MN 56387 Category: Nursing ... to 8 Hours of Paid Volunteer time yearly + No-Cost Employee Assistance Program (EAP) - unlimited mental health telephonic counseling sessions, support with identity… more
- WellSpan Health (York, PA)
- …contacts per week, with client/parent/family, until transfer to longer care services. The program will address the needs that lead an individual to crisis, by ... as going with a patient to the grocery store, movies, library, etc. during program hours of operation which may require use of staff's personal vehicle. + Supports… more
- University of Virginia (Charlottesville, VA)
- …assessment, communication, clinical management, collaboration, coordination, education, program development, research, quality, professional development, and system ... in the general position description, success as an Advanced Wound Care Specialist APP will require the following: * Conduct comprehensive assessments and evaluations… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... Generous paid time off programs + Employee recognition incentive program + Tuition/professional development reimbursement + Relocation assistance (geographic… more
- Corewell Health (Grand Rapids, MI)
- …+ Coordinates the implementation of clinical pilots to ensure practice commitment to program goals and deadlines. + Monitors results of pilot programs to ensure ... system; LPN, RN, BSN. + Certified Professional Coder CPC or Certified Coding Specialist CCS + Project Management Professional PMP certification + Medicare and… more