- Merck & Co. (North Wales, PA)
- Job DescriptionThe Central Contract Services (CCS) Senior Specialist will function as a vital member of the broader Integrated Account Management team focusing on ... teams to develop, implement, and execute contract strategies. The CCS Senior Specialist will also be responsible for driving continuous improvement of these core… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA-Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for… 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 ... Research Compliance (CHRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or related certification. **Knowledge Skills and Abilities (KSAs)**… more
- Molina Healthcare (Oshkosh, WI)
- **JOB DESCRIPTION** Candidate must reside in Wisconsin. Remote with field travel required in assigned territory. **Job Summary** Responsible for increasing ... membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved market areas to achieve… more
- University of Washington (Seattle, WA)
- …- Fridays + 100% Remote **POSITION HIGHLIGHTS** The **Insurance Follow-Up Specialist , Medicare ** is responsible for the optimal payment of claims from ... (FPPS)** has an outstanding opportunity for an **Insurance Follow-Up Specialist ** to join our ** Medicare ** team **.** **WORK SCHEDULE** + 100% FTE + Mondays… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA-Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
- Centene Corporation (New York, NY)
- …auditing, project management, or business analysis experience, preferably within the Medicare field. Previous experience coordinating cross functional teams on large ... relationships and dependencies between functional areas. This position is remote within the state of New York. Candidates must...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Austin, TX)
- …via a queue or email box and/or real-time live chats from our Medicare Customer Service representatives needing support. + Collaborate with internal team and ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Providence (AK)
- **Description** **Charge Description Master Specialist \* Remote -Most states eligible As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, ... the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent...with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III ( Remote ) **Cost Center:** 101651098 System Support-Facility Coding ... be eligible for a sign-on bonus!**_** **JOB SUMMARY** The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the… more
