Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals, while following ethical sales practices and adhering to established policies and procedures. Knowledge/Skills/Abilities Develop sales s

for the role will include Maintain a working knowledge and understanding of DMEOPS CPT and ICD 10 codes Utilize the company billing and collections system to identify and resolve any claims that have been unpaid, short paid and/or denied Review EOB's and other correspondence from insurance companies for correct reimbursement according to rules and regulations and contract

Duties WHAT IS THE TAS TAXPAYER ADVOCATE SERVICE DIVISION? A description of the business units can be found at Vacancies will be filled in the following specialty areas Taxpayer Advocate Service (TAS) Deputy Executive Director Case Advocacy (DEDCA) The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you

Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes (inpatient admissions, bedside procedures, and/or diagnostic services). Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers with a minimum

Operating input devices to enter data and codes into digital files, forms, and databases. Maintaining logs of data entered. Monitoring data entry applications screens for errors. May transcribe or code paper based source data into format required for data entry Little or no knowledge of the job, acquires job skills and procedures to complete routine tasks. Has little judg

Sr. Operations Consultant II LinkedIn Twitter Email Message Share Category Operations Job Location Remote Tracking Code 134683 Industry Health Care Job Level Mid Career Position Type Full Time/Regular Years of Experience 5+ to 7 Years Who is Comagine Health? Comagine Health is a national, nonprofit, health care consulting firm. We work collaboratively with patients, provi

Preferred Qualifications Clinical Nurse or Advanced Practice Nurse (APN) experience highly valuable Consistently achieved financial and quantitative targets, as well as qualitative goals Proficient in addressing operational issues related to the delivery of healthcare products, including reimbursement and supply, while ensuring compliance with external laws, codes, and co

Network Health's success is rooted in its mission to enhance the life, health and wellness of the people we serve. It drives the decisions we make, including the people we choose to join our growing team. Network Health is seeking an Enrollment Specialist. This individual is responsible for assisting with all enrollment, disenrollment, fulfillment, reconciliation and rela

Community Associate Address N19W24400 Riverwood Drive Suite 350 Waukesha 53188 Pewaukee The world of work is changing...short commutes, flexibility, and convenience are the minimum standards employees want when it comes to how they want to work! At IWG, we are leading the way. We've built the world's largest workspace network so that our customers can work from wherever,

Are you ready to take on a new job that provides a platform to grow your career? Looking for a work environment that is dynamic and goal oriented? Join our team! Our Story At Alight, we believe a company's success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to "Be Alight." Our

IS Director Operational Excellence & Quality Job Locations US IN Indianapolis | US WI Milwaukee ID 2024 9654 Category Information Technology Position Type Full Time Overview Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world renowned Blood Research Institute, we enab

Our next Care Coordinator CCS will be responsible for community based family support for mental health and behavioral needs of youth and young adults. They will support families through community resources and a strengths based approach to help and healing. Qualifications Bachelor's Degree in Social Work (BSW) with CSW(Certified Social Worker) license required; Master's D

Provide clinical leadership in an inter disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence Maintain a functional and collaborative relationship with the DRG Integrity Specialist to achieve shared company goals Comply with medical and federal guidelines at all times Reso

This position is primarily responsible for ensuring that prior authorizations are effectively and courteously processed for patients receiving services in the Gerald L. Ignace Indian Health Center working directly with front office staff and providers. ESSENTIAL BEHAVIORS Build Trust Operate with transparency, no hidden agenda; place confidence in colleagues, give proper

Health Information Specialist II (ON SITE) Job Locations US WI Appleton Requisition ID 2024 36175 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics comp