- UpvoteDownvoteShare Job
- Suggest Revision
We are excited to announce three immediate openings for experienced candidates in the following roles: Medical Biller, Medicare Advantage Follow-Up Specialist, and Commercial Follow-Up Specialist.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
QCO has a high volume of Medicare members that need follow up after hospital discharges for medication reconciliation, chronic blood pressure outreach calls, osteoporosis programs and post-emergency visit follow up calls.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Processes electronic and telephonic level of care determinations; Processes electronic and telephonic authorization requests for ongoing services; processes electronic and telephonic requests for psychiatric hospitalization and other crisis services; make decisions related to medical necessity and the utilization of services.
$41.41 an hourExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Prior experience with Medicare Managed Care (Medicare Advantage) preferred. The Coder, Risk Adjustment position provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of the patient.
$28.15 an hourFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
- Suggest Revision
We are looking for an experienced medical biller /AR specialist for a specialty surgery group full-time in Odenton, MD. Must have experience working directly for a private practice, not a hospital or billing company, doing billing, coding, charge entry and AR work only.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Florida Medical Clinic Orlando Health is an Accountable Care Organization. Florida Medical Clinic Orlando Health invites you to explore the Family Practice/Internal Medicine opportunities with a thriving physician-led, professionally managed healthcare system.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
The Division of Hematology and Oncology is primarily located in the Fred Hutchinson Cancer Center (FHCC) campus, but also has faculty and staff located at University of Washington (UW) Medical Center, Harborview Medical Center, the VA Puget Sound Health Care System, and South Lake Union.
$4,409 - $5,929 a monthTemporaryExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Understanding medical coding, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management. Manage appeals and reconsiderations for all four managed care contracts and Medicaid fee for service to attempt to reach a collection ratio of 95% Assist with insurance audits as needed.
$20 - $21 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Works collaboratively with the Case Manager, Brewster Ambulance Services Transportation Coordinator and the VPNE care van ambassador to coordinate the various modes of discharge transportation.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
2-3 years of prior healthcare experience in areas such as medical assistant, certified nursing assistant, EMT/paramedic, clinical laboratory scientist registered nurse, or similar health care related roles (required.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Acts as an advisor and consultant in the establishment of operational policies of the practice to include: Purchasing and capital allocations; Managed care plan participation; Budget and practice expenses; Medicare/Medicaid participation; Billing and collection of professional fees; Personnel management and related policies; Risk management and quality assurance; and Coding compliance.
Part-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
We CARE for our patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers.
$40 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Our Certified Medical Billing and Coding Specialist program is completely self-paced, so it can be done around YOUR schedule. Have you thought about becoming a certified medical billing and coding specialist but it's just too expensive at the $1000-$50,000 cost, it takes WAY too long to finish, AND all without any assistance in actually finding work.
$57,000 a yearInternRemoteExpandApply NowActive JobUpdated Today
follow medical billing managed care medicare jobs Company: Enovis in Amarillo, Texas
FEATURED BLOG POSTS
Assistant Manager Resume Guide
It can be very challenging for many individuals to find a job in the current economy. As a result, the unemployment rate is only starting to decrease after being at its highest since the Great Depression. One of many reasons this is occurring is because this pandemic has encouraged people to quit their jobs to search for better working conditions, become entrepreneurs, or change careers.
How to Build a Supervisor Resume
Writing a great supervisor resume doesn't have to be rocket science. All you need to do is figure out what the company requires and how best to appeal to their needs. In other words, see the resume as your “key” into any organization of choice.
The Ultimate Guide to Writing a Stellar Sales Manager Resume
Have you been working in sales for several years now and feel ready to move up the career ladder? Do you enjoy leading sales teams and developing strategies to drive company sales? Would you describe yourself as a strong communicator, negotiator, and closer? If so, then there’s a good chance that a sales manager position might be the ideal fit for you.
How to Write a Chief Operating Officer Resume + Sample
Are you looking to become the Chief Operating Officer in your company of choice? Do you want to create a compelling COO resume that will earn you the job? This article is for you.
6 Tips to Create a Management Consulting Resume + Sample
So, you want to land a job as a management consultant? Well, here is a management consultant resume sample and some tips below. This will help you create a mind-blowing resume that will keep you in the spotlight during recruitment.
Get Ready, The Beginning of the Year is the Best Time to Job Search
Frankly, if you need a job, the best time to apply for one is right now. But, regardless of timing, the competition is fierce and job seekers should do everything they can to score an advantage. Understanding when companies hire, the typical hiring season trends, and the right time of year to apply for jobs will give you the best chance at success.
The Ins and Outs of Building a Resume From a Bar Manager Job Description
Many people turn their noses up at bartending jobs, as they do for most jobs in the food service industry. Little do they know, bartenders possess a lot of unique skills. Even though these jobs can require little to no education, bartenders must go through extensive training or schooling. Additionally, the demand for these jobs is extremely high, and the career growth opportunities often bring bartenders into management positions after years of experience.