- Covenant Health Inc. (Morristown, TN)
- Overview Regulatory Specialist , Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Some local travel required.Some weekend,holiday or night coverage ... The Joint Commission, CMS, and other regulatory/licensing agencies. The Regulatory Specialist is responsible for maintaining current knowledge of all applicable… more
- Robert Half Accountemps (Johnston, IA)
- Description We are looking for a skilled Medical Billing Specialist to join our team in Johnston, Iowa. In this long-term contract position, you will play a critical ... to ensure timely and accurate claim submissions. * Stay informed about Medicare and Skilled billing regulations to maintain compliance. * Manage co-insurance… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... of local and national coverage determinations + Comprehensive knowledge of Medicare , Medicaid, and Managed Care requirements + Comprehensive knowledge of community… more
- WestCare Foundation (Pikeville, KY)
- …for assisting the agency in ensuring that documentation requirements for Medicaid, Medicare and other funding sources per chapter and contract guidelines are adhered ... in the areas of quality documentation and records review in relation to Medicaid/ Medicare regulations and all other federal, state and local rules and regulations… more
- Ochsner Health (New Orleans, LA)
- …concurrently to meet required standards and deadlines, and maintaining Medicare certifications/enrollments and Medicaid enrollments for all facilities. In addition, ... Research Compliance (CHRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS) **Knowledge Skills and Abilities (KSAs)** + Strong analytical… more
- Hackensack Meridian Health (Brick, NJ)
- …and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of ... Knowledge of Pathophysiology and Disease Process. + Knowledge of Medicare Part A. + Familiar with Medicare ...Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or certification within two (2) years of… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate ... 2. Researches literature from regulatory groups such as; HHS/OIG, Medicare , Medicaid, NGS, etc., professional and peer organizations' practices/policies/guidelines… more
- Actalent (Orlando, FL)
- Job Title: Clinical Trials Applications/CTMS Specialist Job Description The Clinical Trials Application/CTMS Specialist plays a pivotal role in the management of ... clinical trial budgets and protocols. This position involves expertise in Medicare coverage analysis, financial processes, including invoicing and time and effort,… more
- Actalent (Little Ferry, NJ)
- Job Title: Insurance Verification Specialist Job Description We are seeking a detail-oriented Insurance Verification Specialist to join our team. In this role, ... Bright Tree System to navigate NJ HMO websites, commercial insurance portals, and Medicare systems. + Contact insurance providers to verify benefits and coverage. +… more
- Aston Carter (Menasha, WI)
- Data Entry Specialist Job Description We are seeking a detail-oriented and adaptable Data Entry Specialist to support the Family Saving Plan (FSP) open ... enrollment and Medicare data entry operations. This temporary position plays a...Enter data from paper applications and change forms for Medicare members. + Maintain Primary Care Provider (PCP) data… more