- Fidelity TalentSource LLC (Westlake, TX)
- Job Description: Medicare specialistRoleYou will help our customers navigate the complexity of Medicare and drive new revenue to the firm through the sale of ... commissionable Medicare insurance plans from reputable partner insurance carriers. You...appropriate solutions.Fidelity s Healthcare Group has launched a new Medicare business that will provide our customers with tools… more
- Cambia Health Solutions, Inc (Renton, WA)
- MEDICARE SALES BROKER MANAGER (HEALTHCARE)Telecommute Option - Must reside WESTERN WASHINGTONWHO WE NEEDAre you a sales leader with a passion for driving growth and ... and achieving membership goals? We're searching for a talented Medicare Sales Broker Manager to join our team!As a... Sales Broker Manager to join our team!As a Medicare Sales Broker Manager, you'll lead appointed producers to… more
- U of C NORC (Bethesda, MD)
- …surveys, interviews, focus groups, and site visits; secondary data such as Medicare anRESPONSIBILITIES:Play a lead role in growing NORC's portfolio in the area ... at least 5 years of policy project managementExpert knowledge of Traditional Medicare , Medicare Parts C & D, and Medicaid policy including ongoing value-based… more
- Cambia Health Solutions, Inc (Portland, OR)
- …projects may be assigned as needed.We are seeking an individual with Medicare compliance experience to assist in prevention, detection, and remediation activities. ... Experience in risk adjustment compliance ( Medicare and ACA) as well as a coding certification...related experience, with experience in a health care or Medicare -regulated environment preferred.Compliance Specialist III would have at least… more
- Cambia Health Solutions, Inc (Renton, WA)
- Provider Performance Director, Medicare Advantage (HEALTHCARE)Telecommute or Tele-Flex Options (Depending on location) - Must reside in ID, OR, UT or WAWHO WE ... performance improvements in critical objectives such as population health management, Medicare Stars, and Risk Adjustment.Here are some of the exciting… more
- Accounting Now (Pinellas Park, FL)
- …documenting related account activities, posting adjustments and collections of Medicare , Medicaid, Medicaid Managed Care, and commercial insurance payers. The ... collection specialist must possess critical thinking skills and understanding of Medicare , Medicaid eligibility requirements as well as commercial insurance payer… more
- Cambia Health Solutions, Inc (Portland, OR)
- …WAWHO WE NEEDThe Product Implementation Manager (I or II) ensures that new Medicare Advantage products and product enhancements are implemented and delivered to the ... market timely, in compliance with Centers of Medicare and Medicaid Services (CMS) and First Tier, Downstream, and Related Entities (FDRs) requirements. This role… more
- Creative Financial Staffing (Huntington, IN)
- …are seeking a detail-oriented and experienced Billing Specialist with extensive knowledge of Medicare and Medicaid billing procedures to join our team. As a Billing ... Responsibilities of the Medical Billing Specialist: Prepare and submit claims to Medicare and Medicaid in compliance with their billing guidelines and regulations.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and Unique Knowledge, Skills and AbilitiesExperienced enrolling providers in the Medicare and Medicaid programsStrong written and verbal communication skills and the ... Essential Tasks and ResponsibilitiesOn an on-going basis prepares and submits Medicare and Medicaid provider enrollment and revalidation applications for NGPG… more
- U of C NORC (Avondale, AZ)
- …a formal Salary Review Committee (SRC). Other Important Details to Note The Medicare Current Beneficiary Survey (MCBS) is a continuous, multipurpose survey of a ... nationally representative sample of the Medicare population, conducted by the Office of Enterprise Data...Enterprise Data and Analytics (OEDA) of the Centers for Medicare & Medicaid Services (CMS).This is an SCA project,… more
- APN Consulting, Inc (TX)
- …I)* What are the day to day responsibilities? Research and respond to Medicare grievances in accordance with CMS regulations (training will be provided).* Is there ... the standards and requirements established by the Centers for Medicare and MedicaidKNOWLEDGE/SKILLS/ABILITIES* Responsible for the comprehensive research and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …current with updated coding and billing regulations.Prepares, monitors, and files Medicare and Medicaid Cost Reports assuring maximization of reimbursement from ... third-party payors.Responds to surveys affecting Medicare and Medicaid rate revisions, interim payments, and hospital-based physician arrangements.Monitors changes… 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
- Rose International (Franklin, TN)
- …Skills/Attributes: Billing, Customer Service, Data Entry, Healthcare, Medical Terminology, Medicare , MS Excel Job Description **Only those lawfully authorized to ... and coordinating appropriate corrective action. Experience * Knowledge of Medicare and 3rd party vendors is a plus. *...opportunities and coordinating appropriate corrective action. * Knowledge of Medicare and 3rd party vendors is a plus. *… more
- Duke Health (Efland, NC)
- …are provided to the patient. Maintain up to date knowledge of Medicare /Medicaid/JCAHO standards thru inservices and workshop attendance. Assesse the severity of ... of care and discharge. - This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient… more
- APN Consulting, Inc (New York, NY)
- …can use it, case presentation for medical reviews, know Medicaid/ Medicare guidelinesBi-lingual Spanish, Bengali or Mandarin- PREFERRED! NOT Mandatory. Please ensure ... that candidates have experience with actually reviewing for Medicaid/ MLTC members not Medicare or IP reviews as those are very different with a different workflow… more
- Blanchard Valley Hospital (Findlay, OH)
- …and documents as necessary. Duty 4: Conducts medical necessity screening for all Medicare patients. Offers ABN (use a waiver for Medicare Advantage patients) ... and obtains appropriate signatures as required. Documents activity in the appropriate system fields. Duty 5: Complete all appropriate forms including, but not limited to: general consent for treatment, HIPPA notice of privacy practices, Surprise Billing Act,… more
- Hired by Matrix (West Chester, OH)
- …at least once every 10th visit or 30 days as required by Medicare . Implements the treatment plan in collaboration with the treatment team. Appropriate leadership ... Degree in physical therapy from approved APTA School required. Required: Medicare Disability Therapy Retail sales Safety standards Additional: Therapeutic Safety… more
- Mindlance (Atlanta, GA)
- …components. Business System Analyst - Healthcare - Health Insurance - EDI, HL7, Medicare / Medicaid - IT - Information Technology Job Requirements . Experience with ... Agile Methodology . Experience running SQL queries . Healthcare / Health Insurance - EDI, HL7, Medicare / Medicaid . Healthcare claims processing more
- US Tech Solutions, Inc. (Atlanta, GA)
- …exception requests on behalf of as the client and in accordance with Medicare Part D CMS Regulations. Must apply information [provided through multiple channels] to ... requests on behalf of Aetna as the client and in accordance with Medicare Part D CMS Regulations. . Must apply information [provided through multiple channels]… more
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