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Medicare Specialist Virtual Jobs

Virtual Travel Specialist Jobs
By Four Point Getaways At San Jose, CA, United States
Research and stay updated on current travel trends, visa requirements, health advisories, and other relevant information.
Continuously learn about new destinations and travel products to enhance your knowledge and provide outstanding service to clients.
In-depth knowledge or willingness to learn of various destinations worldwide, including popular tourist attractions and lesser-known gems.
Excellent communication skills both written and verbal.
Exceptional customer service skills with a friendly and approachable demeanor.
Proficient computer skills including proficiency in Microsoft Office Suite.
Virtual Travel Specialist Jobs
By Booking Bliss Travel At Las Vegas, NV, United States
Communicate professionally with clients and colleagues
Engage with clients and ask questions to determine their wants, needs, preferences, and expectations
Research, plan, and organize itineraries based on client needs
Create quotes, itineraries, and invoices
Stay up to date with industry news, changes, restrictions and best practices
Must be 18+ and a resident of the United States
Virtual Travel Specialist Jobs
By Booking Bliss Travel At Milwaukee, WI, United States
Communicate professionally with clients and colleagues
Engage with clients and ask questions to determine their wants, needs, preferences, and expectations
Research, plan, and organize itineraries based on client needs
Create quotes, itineraries, and invoices
Stay up to date with industry news, changes, restrictions and best practices
Must be 18+ and a resident of the United States
Virtual Travel Specialist Jobs
By Booking Bliss Travel At Minneapolis, MN, United States
Communicate professionally with clients and colleagues
Engage with clients and ask questions to determine their wants, needs, preferences, and expectations
Research, plan, and organize itineraries based on client needs
Create quotes, itineraries, and invoices
Stay up to date with industry news, changes, restrictions and best practices
Must be 18+ and a resident of the United States
Medicare/Acd Specialist (Rn) - Remote
By Acentra Health At Nashville, TN, United States
Do you value care management and quality improvement?
Knowledge of CMS medical necessity guidelines and benefit coverage criteria strongly preferred.
Are you an experienced Clinical Reviewer looking for a new challenge?
Maintain current knowledge of CMS regulations, guidance documents, and transmittals
Review monthly CPT code report and make suggestions based on the data; review with the Manager prior to meetings
Perform ongoing assessment and maintenance of codes within the ACD and update as appropriate, in collaboration with manager and client
Medicare Risk Adjustment Coding Specialist
By American Health Plans Inc. At Nashville Metropolitan Area, United States
• Escalate appropriate coding audit issues to management as required
• Strong organizational skills; ability to time manage effectively
o 2 years’ experience in managed healthcare environment related to claims and/or coding audits
o Significant HCC experience (including knowledge of HCC mapping and hierarchy)
• Knowledgeable of coding/auditing claims for Medicare and Medicaid plans
• Extensive knowledge of ICD-9 & ICD-10 diagnostic coding and auditing
Appeals Specialist (Medicare Part B) - Palmetto Gba
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Experience working with Medicare Part B
Prior medical office or insurance experience strongly preferred.
Our Comprehensive Benefits Package Includes
Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy.
Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools.
Updates letters and documents within the department when necessary.
Associate Claims Specialist: Medicare (Remote)
By Providence Health Plan At , Beaverton, 97005, Or
Provide and interpret detailed benefit, eligibility, and premium information on a broad portfolio of products
2 years' experience with claims, customer service or accounting
We welcome 100% remote work for residents living within a thirty mile radius of Portland, OR.
Required qualifications for this position include:
Preferred qualifications for this position include:
Check out our benefits page for more information about our Benefits and Rewards.
Billing/Collection Specialist - Medicare
By Northside Hospital At Atlanta, GA, United States

2023-37541 Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more ...

Medicare Specialist (Remote) ($53973.00 - $75562.00 / Year)
By Talentify.io At United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Virtual Mail Specialist Jobs
By Earth Class Mail At , Mountain View, 94041, Ca
Work with management to resolve production problems and bottlenecks to ensure efficiency and prevent delays & customer dissatisfaction.
Ability and experience to independently self-manage, absent of leaderships direct oversight.
Fringe wellness benefits up to $250.
Document, sort, pack, and ship customer mail.
Import, categorize, and review address network shipping backhaul and invoice data from a variety of sources, including USPS and UPS.
Support quality control metrics and programs, and drive continuous quality improvements (systems, processes, and capability), innovation and elimination of non-value-added tasks.
Medicare Specialist (Remote) Jobs
By Sedgwick At Delaware, United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Medicare Specialist (Remote) Jobs
By Sedgwick At Washington DC-Baltimore Area, United States
Thorough knowledge of claims management
Compiles, reviews and analyzes claim files and/or management reports.
Maintains thorough understanding of service and products offered by Medicare Compliance department.
Excellent oral and written communication, including persuasive writing skills
Strong analytical and interpretive skills
Requests rated-ages; tracks files/requests/submissions through Centers for Medicare and Medicaid Services (CMS) processes; and creates documentation as required.
Medicare Billing Specialist Jobs
By Home Healthcare, Hospice & Community Services (HCS) At , Remote
Associates degree in accounting or equivalent work experience; Bachelor’s degree preferred
A minimum of two years Medicare billing experience
Working knowledge of accounting principles and Medicare reimbursement system
Review all billing for coding accuracy.
Maintain patient information and make appropriate changes.
Communicate with Medicare, clinical and audit team to promote timely payments.
Medicare Ops Specialist Jobs
By Horizon Blue Cross Blue Shield of New Jersey At , Newark, 07105, Nj $93,000 - $127,050 a year
Requires knowledge of project management methodology.
Requires knowledge of healthcare management.
Requires the ability to apply project management methodologies and practices across multiple projects.
Collaboratively serve as a divisional resource with the Manager for health plan Medicare and Medicaid operations & STAR ratings reporting.
Requires minimum of 6 years professional business experience working preferably in a health care environment.
Requires working knowledge of PC and application software.
Program Director (Medicare) Jobs
By Cognosante, LLC At , Remote $156,016 - $249,630 a year
Oversight of a large Contact Center staffed with Trained Medicare Specialists handling case management activities.
Oversight and reporting to management and client for Financial Management Operations and legislative reporting functions.
Experience finding trends, errors, and reviewing data with report writing skills.
Project Management Professional (PMP) Certified.
Develop and maintain knowledge, awareness, and understanding of company policies and procedures, goals, and objectives.
Bachelor’s degree in a business discipline plus 5 years’ program/project experience working in government programs such as Medicare and Medicaid.
Medicare Appeals Specialist Jobs
By BioTAB Healthcare At Maryland Heights, MO, United States
Minimum Qualifications (Knowledge, Skills, And Abilities)
Must have good computer skills, experience with Microsoft Office, required
Use persuasive communication skills to draft appeals and effectively overturn denied or underpaid claims
Researches and monitors issues related to trends that generate cases. Recommends revisions to Revenue Cycle Manager
Experience with Medicare, appeals, denials and processes, minimum 2 years required
Experience in medical device billing and/or general healthcare reimbursement, minimum 2 years required
Medicare Specialist - Remote ($18.91 - $28.03 / Hour)
By Talentify.io At United States
Required Experience, Education And Skills
High School Diploma/GED or equivalent combination or education and experience required.
Basic math and computer skills. The ability to type 30 words per minute is a requirement.
Knowledge of medical terminology and the ability to understand and assess medical documents is strongly preferred.
Experience handling first-party medical claims is preferred.
Negotiating skills and the ability to develop effective negotiating strategies.
Medicare Compliance Specialist, Remote
By AllWays Health Partners At , Somerville, Ma
Knowledge/experience with federal, state and payer-specific regulations
Work is normally performed in a typical remote work environment.
Bachelors Degree or substitution of 5+ years of work experience.
3+ years of experience in the health care industry
Experience in performing highly analytical and critical thinking work
Experience in health care compliance
Account Manager-Medicare Advantage Jobs
By CVS Health At , , Ny $43,700 - $100,000 a year

We are searching for experienced Account Managers, well-versed in Medicare Advantage plans to support a large group account. The Account Manager will spend the majority of their day away from the ...