- Centene Corporation (Bronx, NY)
- …Hindi, Bengali or Urdu** **Position Purpose:** The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals ... If required by the Business Unit/Department **For Fidelis Care and Medicare only:** Bachelor's degree in Marketing, Business Administration or equivalent experience… more
- MVP Health Care (Schenectady, NY)
- …and continuous improvement. To achieve this, we're looking for a **Chart Procurement Specialist ** to join #TeamMVP. This is the opportunity for you if you have ... validating diagnoses that were sent to CMS (Center for Medicare & Medicaid Services). + Works to collect medical...records off those systems. + Works with IT on remote access to provider offices. + Scans, downloads, merges… more
- Presbyterian Homes and Services (Roseville, MN)
- …the possibility of hybrid (3 days in the office and 2 days remote ), upon successful completion of training and demonstrated performance. Responsibilities The Care ... Center Billing Specialist performs a variety of general tasks including preparing...Nursing billing experience highly preferred. + Detailed knowledge of Medicare , Medicaid and third party reimbursement policies required. +… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) in Albany, NY** **Division of Eligibility & Marketplace ... of System Quality Assurance and System Requirements (SQA)** **50% Onsite & 50% Remote ** **Summary:** This person will work within the DEMI Bureau of System Quality… more
- NTT DATA North America (Lincoln, NE)
- …as part of an overall sourcing strategy. NTT DATA currently seeks an **Enrollment Specialist ** to join our team for a position in **Lincoln, NE** . **Role ... current knowledge of CMS compliance requirements as they pertain to Medicare Advantage enrollment and member maintenance **Required Skills/Experience** + High school… more
- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Program Support Specialist ** **Location - Albany, NY** **(50% in Office & 50% Remote )** **Duties:** ... Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus and supervisory experience is a plus.… more
- Ochsner Health (Pensacola, FL)
- …OR additional combination of formal education, training, and applicable experience with Medicare Advantage. **Work Experience** Required - 3 years of experience in ... Microsoft Excel, Word, PowerPoint, Outlook, and SalesForce. + Value-based care, medicare advantage, data analysis, project management. + Ability to efficiently… more
- Cardinal Health (Nashville, TN)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of...hours of Monday-Friday, 7:00 AM to 8:00 PM CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will… more
- TEKsystems (St. Louis, MO)
- …in PECOS for both individual and group enrollments. + Support Medicare credentialing projects, ensuring compliance with all regulatory and payer requirements. ... or provider data management. + Working knowledge of PECOS ( Medicare enrollment system). + Familiarity with Monday.com or similar...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- SSM Health (Fond Du Lac, WI)
- …a working knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and State Hospital Licensing ... of continual readiness related to The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Conditions of Participations (CoPs) and State specific… more