- Novo Nordisk Inc. (Hampton, VA)
- …level impact Demonstrates understanding 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… more
- HCA Healthcare (Salem, VA)
- …**Introduction** Do you want to join an organization that invests in you as a Medicare Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... have the opportunity to make a difference. We are looking for a dedicated Medicare Specialist like you to be a part of our team. **Job Summary and… more
- HCA Healthcare (Richmond, VA)
- …to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Impatient Coding Denial Specialist like you to be a part of our...CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and… more
- Prime Therapeutics (Richmond, VA)
- …our passion and drives every decision we make. **Job Posting Title** MTM Specialist Sr **Job Description** The Senior Medication Therapy Management (MTM) Service ... Specialist will act as a Subject Matter Expert for...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
- HCA Healthcare (Richmond, VA)
- …We care like family! Jump-start your career as an Inpatient Coding Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that ... Come join our team as an Inpatient Coding Resolution Specialist . We care for our community! Just last year,...with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Assigns interim… more
- HCA Healthcare (Fredericksburg, VA)
- …Center have the opportunity to make a real impact. As a(an) Quality Improvement Specialist RN you can be a part of change. **Benefits** Spotsylvania Regional Medical ... outcomes for your patients as a (an) Quality Improvement Specialist RN. We want your knowledge and expertise! **Job...of clinical core measures established by CMS (Center for Medicare and Medicaid Services), TJC (The Joint Commission), and… more
- HCA Healthcare (Richmond, VA)
- …for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue to provide all patients with ... apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist , who is responsible for applying correct coding guidelines and payor… more
- Aveanna Healthcare (Richmond, VA)
- Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 204979 Location: Richmond, VA 23235 Category: Business Operations Salary: $15.00 - $16.00 ... per hour Position Details Operations Specialist Aveanna Healthcare is a leading national provider of...and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Elevance Health (Norfolk, VA)
- **Financial Operations Recovery Specialist II** **Location: Norfolk, Virginia.** Virtual: This role enables associates to work virtually full-time, with the ... development. **Shift:** M-F 9:30am to 6:00pm. The **Financial Operations Recovery Specialist II** is responsible for the discovery, validation, recovery, and… more
- Cardinal Health (Richmond, VA)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
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