- Cedars-Sinai (Los Angeles, CA)
- …Hospitals" Honor Roll. The Radiation & Environmental Safety Business Continuity Specialist at Cedars-Sinai Medical Center in Los Angeles, California will assist ... in the coordination of efforts for Department of Health Services, Center for Medicare and Medicaid Services, and The Joint Commission accreditation as it relates to… more
- University of Utah (Salt Lake City, UT)
- …**Open Date** 07/28/2025 **Requisition Number** PRN42631B **Job Title** Compliance Specialist **Working Title** Compliance Specialist **Career Progression ... clinical documentation requirements related to regulatory and reimbursement rules, the Medicare system and proficiency with computer software such as Microsoft Word… more
- National Health Transport (Miami, FL)
- Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical ... Billing Specialist answers inquiries from insurance companies, patients, and processes...+ Medical coding training and experience + Familiar with Medicare /Medicaid laws and billing + Certified Ambulance Coder helpful… more
- Johns Hopkins University (Middle River, MD)
- We are seeking a **_Coding Specialist III_** who will be responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation ... years coding experience with demonstrated analytical skills. + Experience with Medicare regulations. + Understanding of third-party payer issues. + Additional… more
- Northwell Health (Manhasset, NY)
- …Description Coordinates assessment of patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health requirements, ... assessing residents for Medicare and managed care benefits. Ensures continuous maintenance of...schedules. + Completes and/or assures completion of documentation for Medicare reimbursement. + Reviews documentation of all disciplines and… more
- Highmark Health (Charleston, WV)
- …organizations and leaders. + Build an understanding of SDOH, Managed Care issues, Medicare , Medicaid, Dual Special Needs and delivery of those services to the ... with outside entities regularly to learn of community needs. + Collaborate with Medicare Sales team to identify enrollment opportunities. + Other duties as assigned… more
- Presbyterian Villages of Michigan (Chesterfield, MI)
- …accounts. 7. Collects, organizes and maintains appropriate documentation for Medicare , Medicaid orprivate insurance companies. 8. Contact customers to obtain ... information. 9. Answer resident or resident family inquiries regarding private, Medicare , Medicaid orprivate insurance billings. 10. Admits, discharges or transfers… more
- US Tech Solutions (May, OK)
- …requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided through multiple channels ... where needed. **Responsibilities:** + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated… more
- ChenMed (Eastpointe, MI)
- …understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to ... + An understanding of the company's patient population, including the complexities of Medicare programs + Detail-oriented with the ability to multi-task. + Able to… more
- Insight Global (Tukwila, WA)
- Job Description * The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, including ... of infusion and related claim information specific to health insurance benefits and/or Medicare Part D coverage. * This position collaborates with other PSCS and… more