- Cambia Health Solutions, Inc (Portland, OR)
- …or equivalent related experience, with experience in a health care or Medicare -regulated environment preferred.Compliance Specialist III would have at least a ... projects may be assigned as needed.We are seeking an individual with Medicare compliance experience to assist in prevention, detection, and remediation activities.… more
- Merck & Co. (New Orleans, LA)
- …with a driven, customer-focused, and collaborative team. As an Oncology Sales Representative/ Specialist , you will be a key member partnering with customers to ... Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. Qualifications: Minimum Requirements: Bachelor's… more
- Creative Financial Staffing (Huntington, IN)
- …Billing Specialist : We are seeking a detail-oriented and experienced Billing Specialist with extensive knowledge of Medicare and Medicaid billing procedures ... for our healthcare services. Responsibilities of the Medical Billing Specialist : Prepare and submit claims to Medicare ...Billing Specialist : Prepare and submit claims to Medicare and Medicaid in compliance with their billing guidelines… more
- APN Consulting, Inc (TX)
- Title: Healthcare - Appeals Specialist IREMOTE6 monthsJob Description:* Will the position be 100% remote? yes* Are there are time zone requirements? Prefer no more ... and meet the description in the job chosen (appeals specialist I)* What are the day to day responsibilities?...the day to day responsibilities? Research and respond to Medicare grievances in accordance with CMS regulations (training will… more
- Novo Nordisk Inc. (Valdosta, GA)
- …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
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Licensure or other certifications: Provider Credential Specialist .Preferred Educational Requirements: Preferred Experience:Other: Job Specific ... and Unique Knowledge, Skills and AbilitiesExperienced enrolling providers in the Medicare and Medicaid programsStrong written and verbal communication skills and the… more
- Cambia Health Solutions, Inc (Portland, OR)
- Benefit Specialist II or III, DOERemote opportunity for residents of Oregon, Washington, Idaho and Utah Primary Job PurposeThe Benefit Development Specialist II ... as benefit expert across internal departments for ongoing benefit administration.Leads the Medicare benefit design bid submission process to CMS for Medicare … more
- US Tech Solutions, Inc. (Atlanta, GA)
- Job Title: Prior Authorization Specialist Location: Fully Remote Duration: 12 months contract Job Description: The CD Representative II will work closely with ... behalf of as the client and in accordance with Medicare Part D CMS Regulations. Must apply information [provided...of Aetna as the client and in accordance with Medicare Part D CMS Regulations. . Must apply information… more
- Creative Financial Staffing (Pittsburgh, PA)
- …and Medicare documents. PREFERRED QUALIFICATIONS FOR MULTISTATE PAYROLL TAX SPECIALIST ROLE: 4+ years of experience in payroll accounting/ TAX filing environment ... MULTISTATE PAYROLL TAX SPECIALIST ABOUT THE COMPANY: Our client is one...for 11,000 employees. OVERVIEW OF THE MULTISTATE PAYROLL TAX SPECIALIST ROLE: Prepare and monitor processes for payroll and… more
- Marion County (Salem, OR)
- Join the Marion County Adult Behavioral Health peer team as a Peer Support Specialist and use your lived experience to support others! Come along side those in our ... as they travel on their mental health recovery journey. The Peer Support Specialist provides recovery-oriented supports in a one-on-one and group setting and helps… more
- Accounting Now (Sarasota, FL)
- The Reimbursement Specialist compiles, reviews, and processes billing and accounts receivable documents, insurance bills and payments, and prepares and maintains all ... receivable and patient service revenue records and reports.The Reimbursement Specialist :* Compiles, reviews, and processes billing and accounts receivable documents,… more
- BELFOR Property Restoration (Birmingham, MI)
- …Program, Paid Holidays and Paid Time Off. The Leave of Absence & Benefits Specialist is a member of the employee benefits group within the BELFOR HR department. ... and regional managers within the organization. The Leave of Absence & Benefits Specialist is responsible for the day-to-day case management of employees on various… more
- Everence (Goshen, IN)
- …policy and strive to retain membership.Provide coverage options for Medicare Supplement products including pricing.Maintain an understanding of Everence third-party ... administration products and services; Medicare and Medicare Supplement plans; Medicaid; corporate policies, and product-specific policies; procedures and… more
- DivIHN Integration Inc (Orlando, FL)
- …of our Talent Specialists Meghna at ### Rashi at ### Title: Medical Billing Specialist Location: Orlando, FL Duration: 5 Months Room for OT on weekends when needed ... read an explanation of benefits (EOB). Analytical skills are crucial for a collections specialist . Need to be able to use various tools and systems. Problem solving… more
- Rose International (Monroeville, PA)
- …Hiring Organization: Rose International Position Number: 464070 Job Title: Billing Specialist Job Location: Monroeville, PA, USA, 15146 Work Model: Hybrid Employment ... Outlook and good typing skills. Position Summary: * Billing Specialist I will be responsible for qualifying, preparing and...be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid * Individual… more
- Rose International (Monroeville, PA)
- …Hiring Organization: Rose International Position Number: 462898 Job Title: Billing Specialist Job Location: Monroeville, PA, USA, 15146 Work Model: Onsite Employment ... Excel, PowerPoint, Outlook and good typing skills. Position Summary * Billing Specialist I will be responsible for qualifying, preparing and submitting claims to… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …health of our communities. About the Role:Job SummaryThe Population Health Specialist contributes to the multi-disciplinary population health team approach by ... to support performance in our value-based contracts. The Population Health Specialist works cross-functionally with others internally and externally to support data… more
- Wider Circle (Richmond, VA)
- Wider Circle is looking for a Community Health Engagement Specialist in Richmond, VA, to play a vital role in our groundbreaking program, which connects neighbors ... first 90 days. Requirements A genuine interest in working with Medicaid/ Medicare /DSNP populations and a commitment to building strong, supportive communities. Strong… more
- Mayo Clinic (Mankato, MN)
- …inclusion, and provides the resources you need to succeed. Responsibilities The HME Specialist I position is the first of multiple career opportunities within the ... service. Must be able to work independently as needed. Knowledge of Medicare , Medicaid and/or private insurance billed preferred with attention to detail. Physical… more
- Cambia Health Solutions, Inc (Portland, OR)
- …or equivalent related experience, with experience in a health care or Medicare -regulated environment preferred.Compliance Specialist III would have at least a ... departmental leadership.Normally to be proficient in the competencies listed aboveCompliance Specialist II would have a Bachelor's degree or equivalent experience; 5… more
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