- National Health Care Associates (Stafford Springs, CT)
- …appreciated. We invite you to join our team! **-** **What You'll Do:** As a Medicaid Specialist , you will support the center's business office in processing ... are valued and appreciated, we invite you to join our team as a Medicaid Specialist **-** **What We Offer** As an affiliate of National Health Care, our… more
- Hartford HealthCare (Torrington, CT)
- …become part of Connecticut's most comprehensive healthcare network as a Pre-Billing Specialist . The Pre-Billing Specialist is responsible for reviewing and ... system prior to claim submission. This role ensures compliance with Medicare, Medicaid , and other Commercial payer requirements, helping to prevent billing errors… more
- Sumitomo Pharma (Hartford, CT)
- …highly motivated individual for the position of **Multi-Specialty Portfolio Specialist .** In this field-based role, the **Multi-Specialty Portfolio Specialist ... tactical, energetic and thrive in a nimble organization. The **Multi-Specialty Portfolio Specialist ** will demonstrate a sense of urgency to prepare and successfully… more
- Hartford HealthCare (Hartford, CT)
- …with Spanish being their primary language, and have healthcare coverage under Medicaid . Our specialists are skilled at treating many infectious conditions, including ... as well as a Travel Clinic. *Job Summary:* The Tobacco Treatment Specialist provides behavioral counseling to help current smokers and/or vapers quit. Working… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate ... Researches literature from regulatory groups such as; HHS/OIG, Medicare, Medicaid , NGS, etc., professional and peer organizations' practices/policies/guidelines to… more
- Prime Therapeutics (Hartford, CT)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more
- Fair Haven Community Health Care (New Haven, CT)
- …a great passion for helping individuals obtain treatment. The Billing Specialist /Dental Authorization Coordinator works with the Billing and Dental department ... are accurate and detailed. Duties and responsibilities The Billing Specialist / Dental Authorization Coordinator maintains the professional reimbursement and… more
- Wheeler Clinic (Bristol, CT)
- …growth at all stages of life. POSITION SUMMARY The Family Support Specialist provides direct services/case management/coordination of care to an assigned caseload of ... records in accordance with documentation timelines and in compliance with Medicaid , licensing and other regulatory requirements/agencies as defined by program.… more
- Novo Nordisk (New Haven, CT)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... Coverage Gap, Copays, and Deductibles and the impact on customer decisions + Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business… more
- Nuvance Health (Danbury, CT)
- …compliance with all third party payers including Commercial, Medicare and Medicaid programs. Credentials and re-credentials all WCHN physicians and allied ... Services and regulatory requirements for the Centers for Medicare & Medicaid services and state requirements. This includes completing Commercial payer, Medicare… more