- Community Health Systems (La Follette, TN)
- **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... are submitted in accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and state… more
- Robert Half Accountemps (Fort Wayne, IN)
- Description We are looking for a detail-oriented and organized Medicare Billing Specialist to join our team in Fort Wayne, Indiana. This role involves managing ... Medicare , Medicaid, and commercial insurance claims with precision and...needs. Responsibilities: * Prepare and submit accurate claims to Medicare , Medicaid, and third-party insurance providers, both electronically and… more
- TEKsystems (Chesapeake, VA)
- Medicare Billing Specialist About the Role This is a hands‑on, high‑impact role for billers who thrive in dynamic environments and take full ownership of their ... system. + Submit and manage claims across multiple payer portals, including Medicare (primary payer for most patients). + Maintain a manageable monthly patient… more
- Cleveland Clinic (Cleveland, OH)
- …of the most respected healthcare organizations in the world. As a Research Medicare Coverage Analysis Specialist , you will be responsible for determining ... role, you will report to the Director of Research Medicare Coverage Analysis and ensure compliant research billing practices...the opportunity to work as a team member providing Medicare Coverage Analysis for a variety of research projects… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... Required: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification + A Certified Risk Adjustment Coder (CRC) +… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Specialist , you will be responsible for: + Serving as a Subject Matter Expert (SME) ... more years of health plan experience, highly desired + Knowledge of Medicare Advantage, STARS/HEDIS program, and NCQA technical specifications + Knowledge and… more
- Molina Healthcare (Oshkosh, WI)
- …for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved ... product features and differences. + Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale Agents, Benefit ... Navigators, and Medicare Support Specialists are conducting activities that are in...+ Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct Reports: Director Training… more
- Cedars-Sinai (Los Angeles, CA)
- …in other revenue cycle functions and provide back-up coverage. This Revenue Cycle Specialist II is responsible for Medicare Claim Edits and employee work ... and/or collections experience required. Four years' experience or more preferred. Medicare Claim Edits and employee work comp follow-up experience preferred. **Why… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
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