- Molina Healthcare (Mesa, AZ)
- …administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care ... services to low income, uninsured, and other populations. **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for coordinating, conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports… 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 ... customer service and accepts responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes years of… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing...keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- Dana-Farber Cancer Institute (Boston, MA)
- **Hybrid schedule: 2 weeks remote and 1 week onsite at Longwood Medical Center.** The Inpatient Authorization Specialist reports to and receives direction from ... inpatient admissions, and denial management. In addition, the Inpatient Authorization Specialist is responsible for the timely and accurate completion of assigned… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... Specialist takes in-bound calls from providers, pharmacies, members, etc...clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information… more
- SSM Health (MO)
- **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Summary:** Performs as a vital member of the interdisciplinary care team ... risk adjustment (mortality) findings. + Maintains knowledge of Centers for Medicare and Medicaid Services (CMS) requirements related to clinical documentation and… 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
- Cedars-Sinai (Marina Del Rey, CA)
- …period, the role will transition to a **hybrid schedule** , allowing for **1-2 remote workdays per week** , depending on departmental needs. The **Patient Safety ... Specialist ** is a clinical expert entrusted with the oversight...the meticulous oversight and continuous evaluation of Centers for Medicare & Medicaid Services (CMS) metrics, including but not… 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
- State of Colorado (Grand Junction, CO)
- Employment First Specialist (HCT III) - Grand Junction Regional Center **Western Slope** Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148242) Apply Employment First Specialist (HCT III) - Grand Junction Regional Center **Western… more