Medicare Part B Claims & Compliance Coordinator
Hispanic Alliance for Career Enhancement
The Hispanic Alliance for Career Enhancement is actively seeking a Medicare Part B Operations Coordinator in Louisiana. This full-time position involves supporting end-to-end claims processing and ensuring compliance with CMS requirements. Responsibilities include documentation validation and managing prescriber outreach, aiming to reduce bad debt and mitigate legal risks. The ideal candidate will have strong organizational skills, experience in the retail pharmacy sector, and proficiency in MS Excel. A comprehensive benefits package is offered to support employee well-being. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$17 - $34.15 per hour
...everything we do. Join us and be part of something bigger -... ...Job Description Summary The Medicare Part B Operations Coordinator is responsible for... ...end‑to‑end Medicare Part B claims processing activities. This role helps ensure compliance with Centers for Medicare and...ClaimsFull timeLocal area$43.89k - $102.08k
...everything we do. Join us and be part of something bigger -... ...obtaining, verifying, and logging Medicare Part B documentation. In this role,... ...issues to help ensure compliance and operational excellence.... ...accounts receivable, health plan claims processing or adjudication,...ClaimsHourly payFull timeTemporary workWork at officeLocal area- ...We’re looking for a motivated, customer-focused Parts Manager to lead our parts department and... ...sales transactions (cash, check, credit card) Coordinate annual physical inventory counts Handle parts warranty claims Pull and prepare parts for the shop and customer...ClaimsFull timeWork at officeMonday to Friday
- ...responsibility. Minimum of 7 years of working experience in HSE compliance required B.S. in Occupational Safety or Health related technical field... ...documentation ability Ability to work independently and as part of a team Highly motivated and effective communicator with...SuggestedWork experience placementLocal area
- ## Workers' Compensation Claims Specialist**Job Description:**Creative Risk Solutions (CRS... ...to workflows and adhering to compliance requirements. They will prioritize problem... ...group. You will have the opportunity to take part in those if you wish!* Consistent merit increase...ClaimsFull time
- ...licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-...ClaimsFlexible hours
- ...timely and accurate submission of primary, secondary or other claim types to the appropriate payer source. Prepares billing reports... ...communicated timely. Two (2) years’ experience in any of the following: Medicare, Medicaid or Commercial Insurance billing and/or collections....ClaimsFull time
$55k - $68k
...update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications Strong organizational skills and...ClaimsFull timeFlexible hours- ...concrete, piping, equipment, and electrical bulks—against progress claims in the field. Maintain accurate and detailed logs of installed... .... Join us to broaden your horizons, explore diverse opportunities, and be part of delivering sustainable change. #J-18808-Ljbffr...Claims
- ...witnesses, research court decisions and Army regulations, process legal claims and appeals, and prepare records of hearings, investigations,... ...Federal and State tuition assistance Retirement benefits for part-time service Low-cost life insurance (up to $400,000 in coverage...ClaimsContract workPart timeLocal areaWeekend work
- ...leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things... ...coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively...Claims
- ...services Ensure timely submission and follow‑up of claims Review documentation to support appropriate code assignment and compliance Collaborate closely with physicians, clinic... ...This is an exciting opportunity to be part of a growing, high‑performing neurosurgical program...ClaimsFull timeMonday to Friday
$15 per hour
...and resolve issues. Process returns or exchanges in compliance with company policies. Assist with warranty claims and replacement processes. Ensure devices,... ...Organization Compensation Base Pay $15.00. Base pay is one part of the Total Rewards that Comcast provides to...ClaimsWork experience placement- ...believes in having fun. At PENN Entertainment, you’ll be part of an exciting, fast‑paced industry. You’ll work with a diverse... ...of the property SARC/Title 31 and Responsible Gaming compliance programs. Coordinates regulatory activities to provide optimum support to all departments...Work at officeLocal area
- ...PCL Civil Constructors, Inc., part of the PCL Family of... ...work alongside site teams to coordinate field activities, support design... ...trade partners’ submittals form compliance with scope, design documentation... ...and supervises progress claims and estimates. Coordinates inventory...ClaimsContract workWork at office
$160k - $170k
...Everise family, you will be part of a global experience company... ...force. Ensure wage and hour compliance (FLSA and state analogs), ADA... ..., and whistleblower claims. Provide guidance to HR and... ...documentation, as appropriate. Coordinate internal investigations, litigation...ClaimsLocal areaRemote workWork from home$46.99k - $122.4k
...and assist them in pricing for high-cost medications. The role is part of the Meritain Pharmacy Solutions CARE (Cost Avoidance Research... ...-funded clients. Monitor performance of high dollar specialty claims. Research and outreach on appropriate interchanges of...ClaimsFull timeLocal area$46.99k - $122.4k
...prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person... ...environment Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. Researches and...ClaimsHourly payFull timeTemporary workLocal area$43.89k - $76.5k
...candidate will have over 3 years of investigative experience and must currently reside in Louisiana. Responsibilities include analyzing claims data, collaborating with law enforcement, and preparing cases for review. This role comes with a comprehensive benefits package,...Claims$89.17k - $142.68k
...experience with ACA data flows (enrollment, claims, supplemental), HCC modeling, and... ...levels of leadership staff. Maintain and coordinate existing cross-functional programs, and create... ...organizational needs. The base salary is part of a robust Total Rewards package that includes...ClaimsWork at officeLocal areaRemote workFlexible hours2 days per week- Bollinger Shipyards is seeking an experienced HSE Compliance professional to develop and monitor safety programs across multiple locations... ...regulations, and delivering safety trainings. Join us to be part of cutting-edge projects in a positive work environment with competitive...
- ...A leading insurance provider is seeking a temporary Workers' Compensation Claims Adjuster to manage complex claims across the United States. This role involves adjudicating indemnity claims, negotiating settlements, and ensuring prompt investigations. Candidates should...ClaimsTemporary workRemote work
- ## Claims Team Lead, Auto | Complex Bodily InjuryApplylocations:... ...joining Sedgwick, you'll be part of something truly meaningful... ...continuous process improvement; and coordinates with management projects for... ...quality review on claims in compliance with audit requirements,...ClaimsContract workWork at officeLocal area
$46.99k - $122.4k
...prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person... ...processes. Conduct inbound phone calls. Oversee resolution of claims issues. Perform manual eligibility adds and terminations....ClaimsHourly payFull timeTemporary workLocal area$118.69k - $189.91k
...optimization, and cross-functional coordination. What You’ll Do Member... ...‑friendly messaging. Ensure compliance and accuracy across all materials... ...needs. Our base salary is part of a robust Total Rewards... ...organizations, and internet sites claiming to represent Blue Cross and...ClaimsWork at officeLocal areaRemote workFlexible hours2 days per week$67.9k - $199.14k
...everything we do. Join us and be part of something bigger - helping... ...medical and pharmacy claims, encounter, provider, and membership... ...stakeholders Support compliance with CMS and state Medicaid requirements... ...programs (Medicaid, Medicare, and/or ACA) Advanced technical...ClaimsHourly payFull timeTemporary workWork experience placementLocal areaRemote work$118.69k - $189.91k
...data systems and Marts. You will lead and coordinate work related to the identification of... ...preferred) 5+ years' experience with medical claims, Pharmacy/medical rebate data. (Highly... ...organizational needs. Our base salary is part of a robust Total Rewards package that includes...Claims- ...perspectives drive our success. Join us to be part of a legacy of excellence and a future of... ...throughout the organization. Regulatory Compliance: Ensuring that all quality control... ...Experience, and Qualifications Construction claims experience. Travel Requirements 0-5% of...ClaimsWork at office
- ...model helps people recover faster and reduces overall healthcare claims costs. Lyra is transforming access to life-changing mental... ...and opportunities for training and clinical consultation, being part of our network offers the chance to do meaningful client care with...ClaimsFull timeContract workFor contractorsPrivate practiceWork at office
$40k - $60k
...lead a team of seven full-time and one part-time team member. Before becoming an agent... ...while resolving customer inquiries, coordinating with other agency team members, and anticipating... ...changes and updates. Process insurance claims and follow up with customers. Maintain...Full timePart timeFor contractorsWork at office
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