- Fresenius Medical Center (Kennesaw, GA)
- …(HIPP), the Indigent Waiver (IW), Employer Group Health Plans (EGHP), Medicare , Medicaid, Medigaps, Commercial Exchange, Commercial Individual, Medicare ... patients on dialysis for the purpose of paying their Medicare Part B, Medicare Advantage, Medigap, Commercial Exchange, Commercial Individual, or COBRA medical… more
- Kestra Medical Technologies, Inc (Tampa, FL)
- …care teams harmoniously monitor, manage, and protect life. The Clinical Account Specialist (CAS) will be responsible for providing high quality touchpoints in key ... Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- McLaren Health Care (Flint, MI)
- We are looking for a Intake Specialist , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...+ Physician office experience. + Experience and knowledge of Medicare , HMO, PPO, TPA, PHO and Managed Care functions… more
- New York State Civil Service (Ogdensburg, NY)
- …HELP No Agency Addiction Services and Supports, Office of Title Peer Specialist (OASAS) - HOURLY (St. Lawrence ATC) Occupational Category Health Care, Human/Social ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- Molina Healthcare (Cambridge, MA)
- **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention initiatives ... including all lines of business ( Medicare , Marketplace, Medicaid) Executes health plan's member and community...or Healthcare Administration + 1 year of experience in Medicare and in Medicaid managed care + Certified Professional… more
- Penn Medicine (Strasburg, PA)
- …your life's work? **Strasburg Rehab Center is hiring for a full time Clinical Service Specialist to join their team!** **Full Time hours are 6:45 am - 3:30 pm** ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- Catholic Health (Buffalo, NY)
- …Schedule: Days Hours: 8:00 am - 4:30 pm M-F Summary: The Credentialing Specialist is responsible for assisting with the process of electronic credentialing and ... COI from clients and upload into CAQH + Complete Medicare and Medicaid re-validations when needed + Track when... and Medicaid re-validations when needed + Track when Medicare and Medicaid re-validations are needed + Submit completed… more
- AdventHealth (Altamonte Springs, FL)
- …appropriate ICD-10 and CPT codes conventions and requirements of the Medicare Prospective Payment System. Actively participates in outstanding customer service and ... with UHDDS rules, ICD-10 coding conventions, CPT Assistant, requirements of Medicare / payer specifications, and official coding guidelines as outlined by governing… more
- Trinity Health (Maywood, IL)
- …hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary team including physicians, staff ... not meeting medical necessary services for acute care. + Knowledgeable of Medicare , Medicaid and non-governmental payer regulations for patient care requirements. +… more
- WesleyLife (Johnston, IA)
- …supportive, and rewarding work environment. **A Typical Day for a Medical Billing Specialist at our Network Support Center:** + Manage Third Party billing across all ... ensuring accurate and timely submission of claims. + Stay updated on Medicare /Skilled billing regulations and implement necessary process changes for compliance. +… more