- Molina Healthcare (Warren, MI)
- …team members, and manager. Basic understanding of managed healthcare systems and Medicare . ** PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social ... Work, Human Services, or related field. ** PREFERRED EXPERIENCE:** Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP. To all… more
- 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
- 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 ... + Proficient computer skills and knowledge of Microsoft Office ** Preferred Qualifications** + 1 to 2 years Medicare...** Preferred Qualifications** + 1 to 2 years Medicare sales experience + Medicare call center… more
- Ochsner Health (New Orleans, LA)
- …in applying and improving compliance policies, procedures and processes. Perform Medicare Coverage Analysis (MCA) for sponsored research projects. Configure studies ... change at the company's discretion. **Education** Required - Bachelor's degree. Preferred -Advanced degree in healthcare or related field. **Work Experience**… 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
- Commonwealth Care Alliance (Boston, MA)
- …Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred . **Required Knowledge, ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
- PruittHealth (Norcross, GA)
- …AA/AS in Accounting or Business (or Equivalent Education / Experience) preferred . **MINIMUM EXPERIENCE REQUIRED:** * Demonstrates experience and a proven track ... record in Insurance Claims in a medical setting of moderate size and complexity, information systems, and patient accounting applications, as typically acquired in1-3 years of patient accounting / medical billing positions * Experience in month end close… 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) ... experience preferred . 3-5 years of direct experience in a Primary Care setting preferred . Certified Nurse Specialist (CNS) preferred . Work Days: Monday -… more
- University of Southern California (Los Angeles, CA)
- The Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant ... services and Medicare cost report (MCR) requirements. This includes but not...communication skills. + Req Strong interpersonal and analytical skills Preferred Qualifications: + Pref Advanced education preferred … 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
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