- CVS Health (Pierre, SD)
- …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... specialized team who will focus on educating existing Medicare members on available plan offerings to help meet their specific healthcare needs. This role is ideal… 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 ... necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance...to have the one or all of the required certification OR willing to get certified within 1 year… more
- Ochsner Health (New Orleans, LA)
- …Healthcare Research Compliance (CHRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or related certification . **Knowledge Skills and ... in applying and improving compliance policies, procedures and processes. Perform Medicare Coverage Analysis (MCA) for sponsored research projects. Configure studies… more
- Southeast Health (Dothan, AL)
- …Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution. Job ... to obtain accurate reimbursement; + Understands the use of and navigation of Medicare 's DDE system and other governmental and commercial payer websites for claim… 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
- Louisiana Department of State Civil Service (LA)
- Medical Certification Specialist 1 - 2 (Field Office 3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5060748) 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
- New York State Civil Service (Buffalo, NY)
- NY HELP No Agency Mental Health, Office of Title Medical Specialist 3, Buffalo Psychiatric Center, P27054 Occupational Category Administrative or General Management ... NY Zip Code 14213 Duties Description As a Medical Specialist 3, you would serve as chief of service;...for full and unconditional participation in the Medicaid and Medicare programs.OROpen Competitive:Possession of a license to practice medicine… more
- Penn Medicine (Lancaster, PA)
- … Specialist license is required, issued by the PA Board of Nursing License + Certification as a Clinical Nurse Specialist from a National Certifying Body + ... in the area of specialty + Current enrollment in an accredited Clinical Nurse Specialist degree program qualifying them for certification and licensure in the… more
- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization...provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date.… more
- New York State Civil Service (Thiells, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... Code 10984 Duties Description Primary Duties and ResponsibilitiesAs a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
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