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Job Title: Medical Billing Specialist. Summary: Responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicaid, Medicaid Managed Care, and commercial insurance payers.. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments based on payer contracts or government regulations.. Performs follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.. Communicates with billing and credentialing coordinator to identify and resolve audit review issues.
The position of Medicare Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.. Knowledge of Medicare DDE, e-Solutions, Point Click Care and Quadax preferred. Review of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines. Creation and submission of cost Report Bad Debt write offs for states assigned to Medicare CBO, per Medicaid billing guidelines. A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH).
5-7 years of experience in a related pharmacovigilance role within the pharmaceutical industry. Experience with EDC clinical trial systems (e.g. Medidata Rave, ClinTrak, Veeva Vault). Sound knowledge of the Drug Development process, signal detection, and regulatory affairs. Must possess strong working knowledge of MedDRA and WHO Drug. Founded in 2002, Clinical Resource Network (CRN), a division of Solomon Page, provides clinical research and talent solutions for pharmaceutical, biotech, and medical device companies.
At Greenstaff Homecare, we understand the significance of world-class in-home care domain, and that's why we consistently aim to provide unparalleled service. Job Summary: As a Home Care Specialist, you'll be the architect of our growth in your market. Hold a university degree preferred, in fields such as Health Sciences, Gerontology, Social Work, Nursing, Healthcare Administration, or Recreation Therapy, Hospitality. Demonstrate a track record of over 2 years in business development within sectors such as in-home care, senior living, pharmaceuticals, medical devices, and senior healthcare, or hospitality. As a Home Care Specialist, you'll play a pivotal role in shaping this compassionate, efficient, and rewarding culture.
Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility.. The Pharmacist ensures patient care is maintained through compliance with the department's quality improvement plan, and the Joint Commission/Center for Medicare/Medicaid standards for pharmaceutical services.. The pharmacist’s role will focus on biologic medications that are primarily utilized within gastroenterology, rheumatology, dermatology and pulmonary clinics.. Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies.
Grassy Sprain Pharmacy is a pharmaceuticals company located at 640 Tuckahoe Road, Yonkers, New York, United States.. This is a full-time, on-site Pharmacist role located in Eastchester, NY. The Pharmacist will be responsible for dispensing medications, providing patient care, counseling patients on medication use, and collaborating with healthcare providers.. Strong knowledge of pharmaceuticals and pharmacology. Attention to detail and accuracy in medication dispensing. Current Pharmacist license in the state of New York
The ideal candidate will have extensive experience working with US-based payers, including Medicaid and Medicare , and a proven ability to navigate contract negotiations successfully.. Oversee provider credentialing and enrollment with US-based payers, hospitals, and healthcare networks.. Ensure compliance with US healthcare regulations (CMS, CAQH, NCQA, etc. Extensive experience with all US payers, including Medicaid and Medicare.. Bachelor’s degree in Healthcare Administration, Business, or a related field preferred.
The position of Medicare Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.. Knowledge of Medicare DDE, e-Solutions, Point Click Care and Quadax preferred. Review of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines. Creation and submission of cost Report Bad Debt write offs for states assigned to Medicare CBO, per Medicaid billing guidelines. A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH).
The position of Medicare Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.. Knowledge of Medicare DDE, e-Solutions, Point Click Care, and Quadax preferred. Review of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines. Creation and submission of cost Report Bad Debt write-offs for states assigned to Medicare CBO, per Medicaid billing guidelines. A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH).
This is a full-time hybrid role for a Medical Biller located in the Rochester, New York Metropolitan Area. The Medical Biller will be responsible for processing medical billing claims, handling denials, managing ICD-10 codes, verifying insurance information, and working with Medicare billing.. Experience with handling denials and insurance claims. Familiarity with Medicare billing processes. Previous experience in medical billing or healthcare administration. Get notified about new Medical Biller jobs in Rochester, New York Metropolitan Area.
Assists with coordinating campaigns/promotional opportunities with retail marketing, sales, digital and e-commerce teams for integrated brand communication plans.. Oversees and provides creative direction to both internal and external agencies, with focus on content marketing for digital, website, social media and PR. Works with market research agency to analyze market and competitive trends, provide recommendations based on key learnings and execute actionable steps.. Supports sales as needed, including: PowerPoint presentation input, Market/Competitive information, Market Research information.. Acts as the brand ambassador for respective brand(s) including the training and education on products.. Experience: ·Bachelor degree in Marketing, Communications or related discipline.
The Clinical Research Coordinator I will function under the supervision of the Clinical Trials Manager.. Coordinates and maintains diverse activities in the conduct of clinical research trials related to heart and vascular research.. Join our team at Providence St Vincent Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect.. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.. See policy for additional information 1 year experience in healthcare related field with strong knowledge of medical terminology Preferred Qualifications: Experience with clinical research Why Join Providence?
Conducting investigations, assessing and closing deviations, determining impact of the issues that could affect product quality, safety and purity.. Reviewing of PMs, Pest Control, Calibration records, etc.. Minimum Requirements: The QA Supervisor must have at least 5-7 years of experience in an FDA regulated manufacturing environment, with 5 years specifically in Quality Assurance or Quality Control.. Education and Experience : BS Degree or BA Degree with a Science major or concentration and continuing education credits in the pharmaceutical industry through a reputable professional society.. An Associate degree with 10 plus years in pharmaceutical manufacturing experience will be considered.
This job coordinates the clinical trials and administrative activities of the assigned clinical research departments in collaboration with leadership and principal investigators.. Certified Clinical Research Coordinator (CCRC) certification by the Association of Clinical Research Professionals (ACRP) within 1 year in position.. Knowledge Skills and Abilities (KSAs)Strong knowledge of safe protocol management in clinical trials.. Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects.. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste.
Under direct supervision of a physician and nurse (if applicable), is responsible for enlisting, maintaining, and assuring protocol compliance for all patients on clinical trials.. Collaborates with physician in determining eligibility of patients for clinical trials.. Ensures site research quality by practicing in compliance with Standard Operating Procedures (SOP), principles of Good Clinical Practice (GCP) and applicable federal, state, and local regulations.. Provides a safe environment for patients, families, and clinical staff at all time through compliance with all federal, state, and professional regulatory standards as issued through OSHA and the CDC.. Interacts with the Clinical Trial Sponsors to recruit new clinical trials for the site.
Under the general supervision of the Director Risk Management, the Patient Safety Manager is responsible for overseeing and implementing systems and processes to ensure the safety of patients.. The Patient Safety Manager develops education and works to influence leaders to achieve measurable improvements in patient safety that will support the sustainability of reductions in medical/healthcare errors and other factors that contribute to unintended adverse patient outcomes.. A high priority of the Patient Safety Manager is to create a culture of safety within the hospital that prioritizes the well-being of patients and minimizes the risk of harm.. Within 30 days of hire: California Fire and Life Safety Card - National Organization. Within 30 days - California Fire & Safety Card
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.. Family support through fertility and family building benefits with Progyny and adoption assistance.. Referral services for child, elder and pet care, home and auto repair, event planning and more. Sky Ridge offers high-quality compassionate care through patient-centered programs such as a comprehensive Cancer Center, adult and pediatric emergency departments, an award-winning Birth Place, and a state of the art Spine and Total Joint Center.. We offer extensive services and the latest technology in our specialties of women’s care, pediatric care, orthopedic services, robotic surgery center, and top-rated emergency care in our Level II Trauma Center.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.. Referral services for child, elder and pet care, home and auto repair, event planning and more. The hospital is owned by HCA Healthcare, which also owns two emergency rooms, an ambulatory surgery center, an urgent care center, and 46 physician practices in New Hampshire.. Additionally, HCA Healthcare owns Portsmouth Regional Hospital and Parkland Medical Center in Derry, as well as freestanding emergency rooms in Seabrook and Dover.. HCA Healthcare Co-Founder
Advancements in AI and drug discovery are creating more candidate drugs than the industry can progress because of the high cost and time of clinical trials.. The company is backed by investors across pharma and tech, including a16z, Sequoia, Sanofi, Thrive Capital, Sam Altman, John Doerr, Spark Capital, SV Angel Growth, and others.. Leads and manages the writing, review, and finalization of clinical development documents such as protocol synopses and protocols, Investigator's brochures (IBs), clinical summaries and overviews, and clinical study reports (CSRs); regulatory documents (meeting and briefing packages, regulatory filings); and pharmacovigilance documents (eg, annual reports/developmental safety update reports) by serving as the document author or providing oversight to the assigned author.. Ensures that clinical, regulatory, and/or pharmacovigilance documents are developed in a format compliant with the governing regulatory agency (EMA, FDA, and ICH guidelines) and with electronic submission guidelines.. Potentially supervises and manages external contracted medical writers to ensure quality and meeting of timelines for all clinical development and select pharmacovigilance and/or regulatory documents as prioritized by the CMO. This could also include the coordination of working with CROs to assist in moving any of these documents to completion.
You will supervise nursing care provided by registered nurses, licensed vocational/practical nurses, and STNA/CNAs.. Participate in the budget process of the facility and maintains the nursing supply, equipment and nurse staffing budgets.. Maintain current knowledge of applicable managed care, Medicare and state Medicaid regulations, reimbursement systems and methodology.. Director of Nursing, management or supervisor experience in long-term care, restorative or geriatric nursing.. Ciena Healthcare is one of Michigan's largest skilled nursing and rehabilitation services providers.