- Elderwood (Buffalo, NY)
- …Medical Billing Specialist to join our team. Medical Billing Specialist ( Medicare /Managed Care) Position Overview: + Elderwood Administrative Services is ... Life Insurance, Medical, Dental, and Vision insurance Responsibilities Medical Billing Specialist ( Medicare /Managed Care): + Review remittances for potential… more
- Prime Therapeutics (Santa Fe, NM)
- …fuels our passion and drives every decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate ... PBM or healthcare experience + Experience using queries + Experience with Medicare Part D **Minimum Physical Job Requirements** + Occasional non-standard hours and… more
- Wider Circle (Mcallen, TX)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their needs....Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to connect with… more
- ProMedica Health System (Toledo, OH)
- Responsible for Daily Review of outstanding and incoming Medicare Additional Development Requests (ADRs). Responsibilities: 1. Maintains updated files as changes ... Home Health & Hospice offices 5. Answers questions offices have regarding Medicare denials 6. Processes Medicare Additional Development Request 7. Researches… more
- Sunrise Senior Living (Arlington, VA)
- …(P&L) Summary reporting - Review balance sheet account reconciliations - Medicare /Medicaid billing - Adherence to Sunrise Senior Living business process controls ... **Qualifications:** - Associate degree in Accounting or related field preferred - Two (2) years experience in accounting field with exposure to accounting services within a senior housing and/or healthcare environment - To be successful you will need to have… more
- Houston Methodist (Katy, TX)
- Medicare compliance experience is preferred** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ... (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with Houston Methodist's Corporate Central… more
- Universal Health Services (Las Vegas, NV)
- …Western Region CBO The Western Region Consolidated Business Office provides business office services including billing, collections, cash posting, pre-access ... management, variance and customer service to our affiliated UHS facilities. We are seeking dynamic and talented individuals to join our team. Job Description: Responsible for the maintenance and processing of patient accounts and hospital insurance… more
- Martin's Point Health Care (Portland, ME)
- …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... since 2015. Position Summary Job Description Position Summary: The Appeals Specialist ( Medicare or US Family Health Plan) is responsible for ensuring… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... standards, are familiar with the rules and regulations of Medicare billing and are skilled at problem solving and...correct diagnosis, and procedure codes are utilized. 4. Submits Medicare claims, including the maintenance of bill holds and… more
- AdventHealth (Altamonte Springs, FL)
- …: Monday-Friday **Job Location** : Virtual **The role you'll contribute:** The Medicare Risk Adjustment Coding Specialist coordinates and supports retrospective ... **Coding Specialist Risk Adjustment** **All the benefits and perks...with a focus on diagnostic coding + Experience with Medicare risk adjustment, Hierarchical Condition Categories (HCC), coding, billing,… more