• Comhar Inc. (Philadelphia, PA)
    …of experience in customer service in a healthcare environment. PA Medicaid, Medicare insurance/payor experience preferred. Knowledge of PROMISE systems , Connect, ... office with proof of COVID vaccination. Billing and Registration Specialist Shift: Monday-Friday 9:00AM-5:00PMOpenings:One (1) OpeningBilling and Registration … more
    JobGet (06/02/24)
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  • Atrium Health (Charlotte, NC)
    …as appropriate. Demonstrates knowledge and understanding of severity based DRG systems ; All-Patient Refined and Medicare Severity (APR-DRG), Medical Severity ... in conjunction with the Clinical Documentation Director. Aligns department with system strategy, vision, mission, and goals. Ensures competency of Clinical… more
    JobGet (06/01/24)
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  • Marion County (Salem, OR)
    …use disorders who are under the jurisdiction of the PSRB.A Mental Health Specialist on this team provides individual and group therapy, case management, and ... education and training to other staff. *A Mental Health Specialist 2 may have a higher caseload and/or more...Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training. Requirements… more
    JobGet (06/01/24)
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  • Marion County (Salem, OR)
    …being referred to the Wraparound Program. Presents cases at the System of Care Review Committee, which include eligibility recommendations.Participates in individual ... of care, and transitions of older youth to the adult service system .Completes required documentation and documents services to meet contract, administrative rule,… more
    JobGet (06/01/24)
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  • Marion County (Salem, OR)
    …or flexible schedule. Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training. Requirements for the Position ... hired. AUTO-PROMOTE AND SPECIAL CONDITIONS OF CLASSIFICATIONIndividuals hired as a Mental Health Specialist 1 will auto-promote, as noted in Article 4 in the Marion… more
    JobGet (06/01/24)
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  • Marion County (Seattle, WA)
    …by offering bilingual/bicultural services at our Woodburn office. The Mental Health Specialist in this position will provide crisis assessments to individuals in ... or flexible schedule. Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training. Requirements for the Position… more
    JobGet (06/01/24)
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  • Medicare Health Plan Operations…

    Prime Therapeutics (Columbus, OH)
    …fuels our passion and drives every decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate ... Functional Business Consultant serves as a business system or business process subject matter expert for their...healthcare experience + Experience using queries + Experience with Medicare Part D **Minimum Physical Job Requirements** + Occasional… more
    Prime Therapeutics (05/29/24)
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  • Medicare Outreach Specialist

    Wider Circle (Mcallen, TX)
    …+ Effective computer and application knowledge of Client Relationship Management systems like Salesforce, multi-dialer phone system , Google Workspace, and ... boutique insurance agency focused on helping people understand their Medicare Benefits. We work with underserved populations to help...Ask Claire is looking for a remote telephonic Outreach Specialist to join our fast-paced team to connect with… more
    Wider Circle (05/16/24)
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  • Medicare ADR Specialist - Senior…

    ProMedica Health System (Toledo, OH)
    Responsible for Daily Review of outstanding and incoming Medicare Additional Development Requests (ADRs). Responsibilities: 1. Maintains updated files as changes ... Home Health & Hospice offices 5. Answers questions offices have regarding Medicare denials 6. Processes Medicare Additional Development Request 7. Researches… more
    ProMedica Health System (05/18/24)
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  • Medicare Billing Specialist

    Sunrise Senior Living (Arlington, VA)
    …& QUALIFICATIONS** **Responsibilities:** - All accounts receivable and/or accounts payable system input - Assist with the accuracy of monthly Profit and ... (P&L) Summary reporting - Review balance sheet account reconciliations - Medicare /Medicaid billing - Adherence to Sunrise Senior Living business process controls… more
    Sunrise Senior Living (05/22/24)
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  • Regulatory Compliance Specialist

    Houston Methodist (Katy, TX)
    Medicare compliance experience is preferred** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ... (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with Houston Methodist's Corporate Central… more
    Houston Methodist (04/24/24)
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  • Patient Accounts Specialist

    Universal Health Services (Las Vegas, NV)
    …proficiency to include word processing, spreadsheet, database, and patient accounting system . This opportunity offers the following: + Challenging and rewarding work ... environment + Growth and Development Opportunities within UHS and its Subsidiaries + Competitive Compensation + Excellent Medical, Dental, Vision and Prescription Drug Plan + 401k plan with company match About Universal Health Services One of the nation's… more
    Universal Health Services (04/18/24)
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  • Appeals Specialist - Hybrid

    Martin's Point Health Care (Portland, ME)
    …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... are on a mission to transform our health care system while creating a healthier community. Martin's Point employees...2015. Position Summary Job Description Position Summary: The Appeals Specialist ( Medicare or US Family Health Plan)… more
    Martin's Point Health Care (05/14/24)
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  • Senior Medicare Billing and Collections…

    PruittHealth (Norcross, GA)
    **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... productivity performance standards, are familiar with the rules and regulations of Medicare billing and are skilled at problem solving and account resolution. They… more
    PruittHealth (05/08/24)
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  • Medical Specialist 2

    New York State Civil Service (Thiells, NY)
    …the American Board of Medical Specialties (ABMS) in your specialty. OR* Medicaid and Medicare certified. OR* Current Medical Specialist 2. OR* Eligible for 70.1 ... HELP No Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… more
    New York State Civil Service (04/30/24)
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  • Transition of Care Integration Specialist

    Sea Mar Community Health Centers (Seattle, WA)
    …by contracted entities such as Accountable Communities of Health and Medicaid/ Medicare organizations. + The TOC Integration Specialist must maintain the ... a mandatory COVID-19 and flu vaccine organization Transition of Care Integration Specialist - Posting #26208 Hourly Rate: $25.75 Position Summary: Sea Mar Community… more
    Sea Mar Community Health Centers (03/14/24)
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  • Coding Specialist II

    Johns Hopkins University (Middle River, MD)
    …years coding experience with demonstrated analytical skills. + Experience with Medicare regulations. Classified Title: Coding Specialist II Role/Level/Range: ATO ... We are seeking a **_Coding Specialist II_** who will be responsible for understanding...defined by a payer or contract. + Maintains a system of billing accuracy through encounter verification ie, clinic… more
    Johns Hopkins University (04/02/24)
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  • Training Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale Agents, Benefit ... Navigators, and Medicare Support Specialists are conducting activities that are in...the Training Director + Maintain hard copy/ electronic filing system + Maintain office supply inventories + Record, compile,… more
    Centers Plan for Healthy Living (04/30/24)
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  • Sr. Manager, Medicare Compliance - Remote

    Commonwealth Care Alliance (Boston, MA)
    …vendor to correct identified issues + Oversee the development and maintenance of system process documentation + Work with training specialist to develop user ... Important to Us:** Under direction of the Director of Medicare Compliance, the primary focus areas of this position...staff. **What You'll Be Doing:** **Essential Duties & Responsibilities:** ** System Administrator for GRC System ** + … more
    Commonwealth Care Alliance (05/15/24)
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  • PRN Coder

    Universal Health Services (Jacksonville, FL)
    …hospitalization, and outpatient charts. Prepares and submits charts required for Precyse Medicare audits. HIM Specialist / physician Liaison: is responsible for ... We are pleased to announce the following available position: PRN CODER Coder/HIM Specialist analyzes and abstracts clinical data by assigning codes from the patient… more
    Universal Health Services (05/30/24)
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