- Dana-Farber Cancer Institute (Boston, MA)
- …Access & Financial Engagement Supervisor, and under direct supervision, the Admitting Specialist is responsible for registering patients prior to admission to the ... consents and admissions documents. In addition, with direct supervision, the Admitting Specialist is responsible for the timely and accurate completion of assigned… more
- Academy of Managed Care Pharmacy (Houston, TX)
- …to all, regardless of pre‑existing conditions. Community Health Choice (HMO D‑SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare ... and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits… more
- Prisma Health (Columbia, SC)
- …Clinical Quality Data, and Risk. Works collaboratively with data support specialist /analyst and the Senior Infection Preventionist to coordinate data collection and ... to reporting standards as set forth by Centers for Medicare and Medicaid Services (CMS), Centers for Disease Control...2023, have three years from that point to earn Certification in Infection Control and Epidemiology (CIC). All others,… 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...diploma or equivalent is required; an associate degree or certification in billing is preferred. * At least two… 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 ... organized, detail-oriented individual with: Required: + A Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) certification … 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) ... in Los Angeles County Preferred: + Project Management (PMP) Certification , a plus + Three or more years of...of health plan experience, highly desired + Knowledge of Medicare Advantage, STARS/HEDIS program, and NCQA technical specifications +… 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
- Hartford HealthCare (Farmington, CT)
- …Up/Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of monitoring ... or professional medical billing and/or accounts receivables setting. **Licensure, Certification , Registration** . Preferred: American Academy of Professional Coders… more
- Louisiana Department of State Civil Service (LA)
- Medical Certification Specialist 1 - 2 (Field Office 2) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5060163) Apply Medical ... Certification Specialist 1 - 2 (Field Office...to determine compliance with state and federal regulations, including Medicare and Medicaid standards. + Review facility records, policies,… more
- Charter Care Health Partners (Providence, RI)
- …all authorizations and pre-certs as required by the individual insurance company. The specialist will be familiar with and understand Medicare , Medicaid, other ... government payers, Commercial and HMO/PPO Payers guidelines and principals. Education: High school graduate or GED required. Associate's level degree preferred. Experience: Prior experience working in a related role in a medical office or other health care… more
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