- 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
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Billing Specialist position reports directly to the Director of Finance and will work within a team environment to complete the submissions, ... follow up rejections and posting payments for Medicaid, Medicare and other third party payers. Qualifications & Education Required: + High school diploma or the… more
- Lumeris (NH)
- …and empowers you to make an impact. **Position:** Provider Engagement Specialist **Position Summary:** Responsible for improving Accountable Care Team (Provider) ... subject matter expertise in any of the following areas: Medicare advantage, Medicare Shared Savings Program (MSSP), managed care regulations, quality reporting,… more
- AdventHealth (Orlando, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... ICD-10-CM rules and conventions, coding policy and procedures, requirements of Medicare / payer specifications, and official coding guidelines as outlined by… more
- Penn Medicine (Lancaster, PA)
- …each day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Health Location: Lancaster General Hospital- 555 N Duke ... + 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
- Organon & Co. (Plymouth Meeting, PA)
- …professional to join our team as the MedTech Billing & Coding Contract Specialist . This role is essential in developing and implementing strategies that support ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. The role will also support the development of a… more