- Molina Healthcare (San Diego, CA)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates… more
- PeaceHealth (Florence, OR)
- …+ Current licensure/certification as required by State. + Registered Dietitian Current Medicare provider status number may be required. + Position may require valid ... license and auto insurance. + Certified Diabetes Care and Education Specialist (CDCES), or Certified Nutrition Support Clinician, or Board-Certified Specialist… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry ... Authorization Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected… more
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Senior Resident Billing Specialist position reports directly to the Director of Revenue Cycle Management and will assist in the resident ... and revenue collections + New York State Medicaid and Medicare rules and regulations + Basic methods and procedures...+ Regularly meet with supervisor to discuss and resolve reimbursement issues or billing obstacles; + Meets with Elders… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …when appropriate * Collaborates with department director and professional development specialist to develop standard work and expectations for the utilization review ... compliance to regulatory and health plan requirements for authorization, including Medicare Inpatient Only List and communicates to provider to obtain accurate… more
- SUNY Upstate Medical University (Syracuse, NY)
- …professionals and medical facilities + Communicate with collaborating physician or specialist regarding patient care Provides exemplary patient care Timely and ... of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Registration Specialist , Emergency Department Full Time, 72 Hours Per Pay Period, Night Shift Fri, Sat, Sun 530p-6a every week. Emergency Dept ... package (https://www.covenantcareers.com/benefits) , including: offering unmatched medical insurance, tuition reimbursement ; student loan repayment assistance, certification bonuses; leadership and… more
- Centene Corporation (Queens, NY)
- …Teams and / or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for to confirm accuracy and ... (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance...will spend time in the field while reviewing Intake Specialist work and will actively coach and develop staff… more
- Hackensack Meridian Health (Edison, NJ)
- …conducts audits for medical provider documentation while adhering to Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG) ... coding and auditing concepts, American Medical Association (AMA)/Centers for Medicare and Medicaid Services (CMS)/Office of Inspector General (OIG)/Federal/State… more
- PeaceHealth (Ketchikan, AK)
- …be able to design, implement, and evaluate instructional materials. + Current Medicare provider status number may be required. + Registered Dietitian or registration ... 3 years in a related setting as a Registered Dietitian** + Current Medicare provider status number may be required. + Registered Dietitian or registration eligible… more