- BroadPath Healthcare Solutions (Kapolei, HI)
- …**Fast-track your future.** In just 7 weeks, you'll go from trainee to licensed Medicare Specialist + **Medical and 401(k) benefits** are available after a ... **Overview** **Launch Your Healthcare Career - No Experience Needed** ** Medicare Sales & Enrollment Specialist ** **Location: The Hive, powered by BroadPath in… 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 ... with: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC),… more
- BroadPath Healthcare Solutions (Salem, OR)
- **Overview** **Launch Your Healthcare Career - No Experience Needed** ** Medicare Sales & Enrollment Specialist ** **Location: The Hive, powered by BroadPath in ... **What You'll Learn and Do** + Guide prospective members through their Medicare options with clarity and care + Enroll customers into health plans… more
- Wider Circle (Los Angeles, CA)
- …a fast-growing boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help them navigate ... Medicare to identify the best benefits for their needs....Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to connect with… more
- PruittHealth (Norcross, GA)
- …PURPOSE:** Compilation and verification of required third party documentation for all Medicare bad debt claims on an annual cost reporting basis. Calculation of ... allowable Medicare bad debt claims based on third party documentation...2. Validate and document each paid, adjusted, and/or denied Medicare Part A coinsurance crossover claim on each remittance… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is eligible for… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... as necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance process.… more
- Commonwealth Care Alliance (Boston, MA)
- …accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, and provider… more
- Molina Healthcare (Omaha, NE)
- …PST hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing and resolving ... with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research… more
- NTT DATA North America (Pittsburgh, PA)
- …accurate and timely customer support to ensure successful member enrollment for Medicare services. The Enrollment Support Specialist will work closely with ... overall sourcing strategy. NTT DATA Services currently seeks a **Associate Eligibility Specialist ** to join our team in **Pittsburgh, PA** . Associate Eligibility … more
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