Medicare Jobs in Oeiras

**ON-SITE**Job SummaryThe Claims Resolution Specialist provides assistance in resolving provider claims payment status issues, provider payment disputes, eligibility, and authorization verification. The incumbent will be responsible for following regulatory requirements in conjunction More...

100% Remote EST work hours Possible CTH role Technical QNXT Benefit Configuration; Front End Must Haves: 3 years of QNXT benefits configuration ***Needs to be front end Ideally know commercial side; but if they are super strong on QNXT Benefit Configuration would consider jus More...

JOB SUMMARY/PURPOSEDevelops implements and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members. Ensures member medical records comply with CMSs Risk Adjustment Data Validation procedures. Responsible More...

Location:Atlanta GA 30339Category: ManagementSalary: Starting at $100000 per yearPosition Details: Current Opportunity: More...

Nurse Practitioner:POSITION SUMMARY: The Nurse Practitioner (NP) is a Registered Nurse who possesses additional clinical and didactic education to function at an advanced level of nursing practice. They will be clinically competent in physical diagnosis psychosocial assessment and man More...

Looking or a Part Time Nurse Practitioner (NP) for Home Flexible Schedule job in Phoenix, The Part Time Nurse Practitioner (NP) will conduct home health risk assessments within Maricopa County, The average home health risk assessment will take about 45 minutes and the n More...

Plaintiffs Personal Injury & Civil Litigation Law Firm seeking Litigation Paralegal with 25 years experience in personal injury and civil litigation. The ideal candidate should have a positive attitude be highly motivated and have a demonstrated ability to perform under strictdead More...

Duties: The Provider Services Specialist is responsible for the timely accurate and compliant enrollment of Atrium Health providers with government payers as well as the timely and accurate processing follow up and verification of completion of applications for participation in Medica More...

Overview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family dental and vision plans More...

Nurse Practitioner:POSITION SUMMARY: The Nurse Practitioner (NP) is a Registered Nurse who possesses additional clinical and didactic education to function at an advanced level of nursing practice. They will be clinically competent in physical diagnosis psychosocial assessment and man More...

Job Title: Project Manager (Billing) Location: 100% Remote Duration: 10 months Overview: Our client a national health care insurance provider needs a Senior Project Manager with at least 5 years of experience in Healthcare Billing IT projects Medicare Billing ACA Exchange processes a More...

Shift FullTime MF day shift (hybrid position) The F&R Consultant completes contract build/modelling performance reporting and maintenance within Epic EMR; assists with new payer/plan build and design within Epic; negotiates payment on individual nonnetwork cases; assists with thir More...

Approved states: CA GA IA NE NC TN UT WI WY MO Not approved cities/counties in CA: Berkeley Emeryville Los Angeles County San Diego City San Francisco City Oakland Duties: Position Summary: Serves as the principal point of contact for charging related issues. Responsible for managin More...

Sr.PM position in Healthcare Insurance Remote Manage mediumscale or low to medium to high complexity projects within programs and standalone projects Exp needed with insurance medicare/ medicad Make sure theyve used ALM (ADO) SNOW Medicare advantage DSNP Exchange programs Market pl More...

POSITION SUMMARY: The Nurse Practitioner (NP) under the direction of the Medical Director/Supervising Physician and/or the Nurse Manager is a Registered Nurse who possesses additional clinical and didactic education to function at an advanced level of nursing practice. They will be cl More...

Shift: Days WHAT YOU WILL DO IN THIS ROLE: EXPERIENCE/EDUCATION/QUALIFICATIONS Masters degree in Mental Health Social Work Clinical Psychology or a closely related field required. Current unencumbered Oregon credential/licensure in one (1) of the following required: Licensed Cl More...

Company Overview: Sunshine Enterprise is an industryleading Staffing and Recruitment Firm. Our clients are Fortune 500 companies highgrowth startup companies government and private equity firms and lead professional services firms. As a leading force in the business landscape we take More...

Location: Clackamas OR (REMOTE in WA or OR)JOB SUMMARY:To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED) Ambulatory Surgical Center (ASC) Hospital Am More...

Responsibilities : Develop and deliver presentations to CLevel audiences Assess business practices and providing insight based on industry trends Create industry specific reports Conduct research and industry specific writing white papers Travel to client offices as needed Abil More...

DEPARTMENT DESCRIPTIONThe social services teams provide direct services to clients impart information and make referrals screen and assess clients and intervene in crisis situations most often in their area of practice. We are an integral part of the multidisciplinary team working clo More...