Medicare Prescription Drug Consultant - Licensed L&H - Contract
Las Vegas or Albuquerque or Chandler or Meridian
$25/hrRemoteFull Time
Arthur J. Gallagher & Co.NYSE: AJG: Global insurance brokerage and risk management services provider.
1+ YOEHigh school diploma or 1-2 years experience, active accident/health or life & health insurance license, ability to get carrier appointments, proficiency with sales systems, strong verbal and written communication.
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
2+ YOE2+ years medical insurance billing and collections experience; knowledge of denials/appeals, Medicare billing, Excel and data entry; high school diploma or equivalent.
University Medical Center of Southern Nevada: Public academic hospital providing specialized medical care in Nevada.
2+ YOEHigh school diploma or equivalent, 2+ years Medicare hospital billing and follow-up experience (Medicare inpatient expertise required), experience with Medicare CWF and FISS/DDE, knowledge of CMS regulations, EPIC experience, proficient in Microsoft Word and Excel.
Medicare Common Working File, Medicare Fiscal Intermediary Standard System/DDE (Direct Data Entry), EPIC, Microsoft Word, Microsoft Excel
Chicago or Las Vegas or San Diego or Atlanta or Salt Lake City or Austin or Houston or Denver or Sacramento or Phoenix or Los Angeles or San Francisco or Minneapolis or Charlotte or Dallas
$165k-$220k/yrRemoteFull Time
LivaNovaNASDAQ: LIVN: Manufactures medical devices for cardiac and neurological therapies.
10+ YOE10+ years advocating to payers, Medicare/Medicaid; payer engagement; reimbursement and health economics; neuromodulation experience preferred.
ConcentraNYSE: CON: Provider of occupational health and urgent care services.
Requires an active unrestricted medical license, DEA and state dispensing licenses, Medicare eligibility, and preferred board certification or eligibility and FMCSA NRCME certification.
Aspire Home Healthcare: Provides in-home skilled nursing and rehabilitative therapy services.
5+ YOEBachelor's degree preferred, 5+ years home health sales experience, proven 10+ Medicare admissions/week, professional ethical patient-centered approach.
Pueblo Medical Imaging: Provider of outpatient diagnostic imaging and radiology services.
2+ YOEMinimum two years billing experience; knowledge of Nevada insurance, Medicare/Medicaid, medical coding and terminology; HIPAA compliance and ability to perform essential duties.
Client Relations Associate - Customer Service - Monday- Friday 9a-6p : Pecos Rd. Las Vegas, NV 89120 (NV, Las Vegas)
Las Vegas, Nevada, United States
OnsiteFull Time
Prism Medical Products: Distributes home medical supplies for wound and ostomy care.
Handling inbound/outbound client inquiries, strong communication, Medicare/private insurance knowledge, proficiency with Microsoft Outlook and client relations software, ability to meet KPIs.
Pueblo Medical Imaging: Providing diagnostic and interventional imaging services in Las Vegas.
2+ YOEMinimum two years billing experience, knowledge of Nevada insurance and Medicare/Medicaid, medical coding and terminology, HIPAA compliance, strong communication and time-management skills.
NewGen Administrative Services: Provides operational and administrative management for post-acute healthcare facilities.
1+ YOECurrent unencumbered RN license, 1+ year MDS experience, nursing degree, knowledge of long-term care regulations and Medicare reimbursement, strong clinical and documentation skills.
NewGen Administrative Services: Operates skilled nursing and behavioral health care centers.
1+ YOERequires 1–3 years of MDS experience, an accredited nursing degree, an unencumbered state LVN/LPN license, and knowledge of long-term care, Medicare, regulations, and clinical standards.
Quality Medical Imaging: A medical imaging provider delivering diagnostic radiology and billing services.
6+ YOEManage billing, insurance, collections and accounts receivable; knowledge of Medicare/Medicaid, ICD-10 and CPT; medical billing certification; high school/GED; 6+ years related experience.
Commence: Provides clinical review and data transformation services for healthcare.
2+ YOERN or LPN licensure, healthcare-related degree and clinical background preferred. Requires 2–4 years of Medicare clinical decision-making, medical review, utilization review, or claims review experience.
Dependable Health Services: Provider of compassionate and quality in-home healthcare services.
0.5+ YOEMinimum 6 months home health or hospice intake experience required; knowledge of Medicare home health guidelines, insurance verification and authorizations, medical terminology, EMR proficiency, and strong communication and organizational skills.
Astrana HealthNASDAQ: ASTH: Operates technology-powered platforms to coordinate and deliver medical care.
2+ YOE2+ years medical billing experience preferred; high school diploma required; familiarity with Medicare Advantage/Medicaid/ commercial payers; knowledge of CPT/ICD-10/HCPCS; strong attention to detail and communication.
Atlanta or Woodland Hills or Costa Mesa or Hanover or Miami or Wilmington or Mason or New York City or Seattle or Grand Prairie or Chicago or Iselin or Columbus or Tampa or Las Vegas or Woburn or Lake Success
$155k-$280k/yrHybridFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
5+ YOERequires PharmD, RPh, or another advanced health-related degree and 5+ years of managed care experience, plus an unrestricted pharmacist license. Medicare, MTM, CMR, PBM, and team leadership experience preferred.
Med-Care Providers: A patient-centered medical practice delivering primary and specialty care through in-office, telehealth, and community-based services.
1+ YOEActive Nevada APRN-CNP license, Medicare and Nevada Medicaid credentialing (or eligibility), Spanish speaker, 1+ year primary care/geriatrics/urgent care experience, reliable transportation, telehealth proficiency, and timely documentation.
Medical Director - NV Command Center, Medical Management
Las Vegas, Nevada, United States
$249k-$373k/yrOnsiteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOE4+ MgmtMD/DO board certified, Nevada medical license or ability to obtain, 5+ years managed care experience, 4+ years supervisory experience, knowledge of medical management and Medicare criteria, strong leadership and communication.