- Commonwealth Care Alliance (Boston, MA)
- …Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge, ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
- Commonwealth Care Alliance (Boston, MA)
- …necessary on all new CPT and HCPCS codes for coding logic, related Medicare /Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... operations, health care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical Coding, Compliance,… more
- BlueCross BlueShield of North Carolina (NC)
- …complex coding patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** + Analyzes necessary documentation, ... coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses all resources...and surrogacy assistance + Career development programs and tuition reimbursement for continued education + 401k match including an… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is eligible for… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
- WMCHealth (Valhalla, NY)
- Financial Reimbursement Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Revenue ... Internal Applicant link Job Details: Job Summary: The Financial Reimbursement Specialist is responsible for providing systems applications… more
- Prime Healthcare (Ontario, CA)
- …various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the ... complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section of the report is linked to another and be… more
- Organon & Co. (Plymouth Meeting, PA)
- …a highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in ... developing and implementing strategies that support billing, coding, and reimbursement processes across diverse healthcare settings, including hospitals today and… more
- Signature Healthcare (Indianapolis, IN)
- …of choice in the healthcare industry. Overview The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, ... Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare /Medicaid guidelines for all SHC Stakeholders. + Assist with design and… more
- BayCare Health System (Largo, FL)
- …and clinical excellence. We are currently seeking a **Infusion Pharmacy Reimbursement Specialist ** who is passionate about providing outstanding customer ... Hours:** 8-5PM + **Weekend Work:** None + **On Call:** No **Infusion Pharmacy Reimbursement Specialist ** , under the immediate oversight of the Pharmacist,… more