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.
Dallas or Alaska or Alabama or Arkansas or Arizona or Colorado or Connecticut or Florida or Georgia or Idaho or Illinois or Indiana or Kansas or Kentucky or Louisiana or Massachusetts or Maryland or Missouri or Mississippi or Montana or North Carolina or New Mexico or Nevada or Ohio or Oklahoma or Oregon or Pennsylvania or Rhode Island or South Carolina or Tennessee or Texas or Utah or Virginia or Wyoming
$18-$21/hrRemoteFull Time
Enhabit Home Health & HospiceNYSE: EHAB: Provider of home-based health and hospice care services.
2+ YOE2 years home health/hospice or Medicare billing experience, high school diploma or equivalent, strong computer and typing skills, organized and detail-oriented for billing, collections, and appeals.
Long Beach or United States or Washington or Ohio or District of Columbia or California or Arizona or Colorado or Connecticut or Florida or Georgia or Maryland or Minnesota or Nevada or Oregon or El Dorado Hills or Lodi or Oakland or Rancho Cordova or Redding or San Diego or Woodland Hills or Alabama or Illinois or Virginia or Wisconsin or Texas
$91k-$136k/yrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
5+ YOEBachelor's degree, 5+ years program/project/operations experience in healthcare or managed care, Medicare/CMS knowledge, project management experience, process improvement (Lean Six Sigma preferred).
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Missouri or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$103k-$165k/yrRemoteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
5+ YOEBachelor's degree in actuarial science, mathematics, statistics, or related field; 5 years of actuarial experience; ASA required; advanced analytical and communication skills.
South Carolina or Georgia or Vermont or Hawaii or Utah or Texas or Washington or Idaho or Virginia or West Virginia or Wyoming or Wisconsin or Illinois or Arkansas or California or Colorado or Connecticut or Delaware or District of Columbia or Kentucky or Maine or Maryland or Indiana or Minnesota or Michigan or Iowa or Massachusetts or Kansas or Mississippi or Missouri or Montana or Nevada or Nebraska or New Jersey or Louisiana or New Hampshire or New Mexico or New York or North Carolina or South Dakota or North Dakota or Ohio or Oklahoma or Oregon or Pennsylvania or Rhode Island or Alabama or Arizona or Florida or Tennessee or Alaska
$49k-$95k/yrRemoteFull Time
Palmetto GBA: Provides Medicare administrative services and healthcare transaction processing.
2+ YOEBachelor's in a job-related field (or equivalent), 2 years auditing experience, knowledge of auditing principles, Microsoft Office required, strong analytical and communication skills; CIA/CPA/CISA/CFE preferred.
South Carolina or Georgia or Vermont or Hawaii or Utah or Texas or Washington or Idaho or Virginia or West Virginia or Wyoming or Wisconsin or Illinois or Arkansas or California or Colorado or Connecticut or Delaware or District of Columbia or Kentucky or Maine or Maryland or Indiana or Minnesota or Michigan or Iowa or Massachusetts or Kansas or Mississippi or Missouri or Montana or Nevada or Nebraska or New Jersey or Louisiana or New Hampshire or New Mexico or New York or North Carolina or South Dakota or North Dakota or Ohio or Oklahoma or Oregon or Pennsylvania or Rhode Island or Alabama or Arizona or Florida or Tennessee or Alaska
$49k-$95k/yrRemoteFull Time
BlueCross BlueShield of South Carolina: Provides health insurance and healthcare administrative services.
2+ YOEBachelor's or equivalent, 2 years auditing experience, knowledge of auditing principles, ability to analyze financial data, strong written and oral communication, and confidentiality.
Medicare Part B Operations Coordinator, Revenue Cycle
Rhode Island or Idaho or Arkansas or Vermont or Georgia or Texas or Minnesota or Montana or New Mexico or Iowa or Michigan or Maine or Wisconsin or North Dakota or District of Columbia or Kansas or New Jersey or Nebraska or Indiana or Connecticut or Nevada or Louisiana or Kentucky or Tennessee or Mississippi or Ohio or Oklahoma or West Virginia or Massachusetts or Maryland or South Carolina or Alabama or Missouri or Utah or Arizona or Virginia or South Dakota or Illinois or North Carolina or Florida or Colorado or Pennsylvania or New Hampshire or Wyoming or Delaware
$17-$34/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
1+ YOE1+ year retail pharmacy/PBM/account experience, 1+ year Microsoft Excel and Access experience, strong communication and organizational skills, HIPAA compliance, HS diploma required, Associate's preferred, Rhode Island Pharmacy Technician (Tech II) license and CPhT/PTCB noted.
ConcentraNYSE: CON: Provider of occupational health and urgent care services.
Active unrestricted medical license, DEA and state dispensing licenses, Medicare eligibility, and physician specialty board certification or eligibility preferred. FMCSA NRCME certification preferred or obtainable.
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
Virginia Beach or Baltimore or Arizona or Arkansas or Delaware or Florida or Georgia or Illinois or Indiana or Kansas or Kentucky or Massachusetts or Maryland or Michigan or Mississippi or Missouri or Montana or North Carolina or Nebraska or Nevada or New York or Ohio or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or District of Columbia or Wisconsin or West Virginia
$100k-$125k/yrRemoteFull Time
Commence: Provides clinical review and data transformation services for healthcare.
4+ YOE4+ years healthcare program or federal contracting experience; 2+ years Medicare FFS operations; 3+ years managing medical review workflows; working knowledge of Medicare policy; master’s preferred or bachelor’s plus 3 years.
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.
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.
Sacramento or Modesto or Santa Rosa or Davis or Reno
$100k-$115k/yrOnsiteFull Time
Ensign ServicesNASDAQ: ENSG: Provides administrative and clinical support to post-acute healthcare facilities.
5+ YOEOccupational, Physical, or Speech Therapist with at least five years' SNF experience; CA travel ~70%; licensed OT/PT/SLP; Medicare/MDS/PDPM knowledge.
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.
Brightside Health: Telehealth platform providing personalized mental health care and psychiatry.
2+ YOEActive APRN and PMHNP licenses, 2+ years autonomous post-graduate PMHNP experience, outpatient and telehealth experience, licensure in 4+ states, and Medicare/Medicaid enrollment.
artificial intelligence, machine learning, practice management EMR, clinical decision support
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.