Average salary: $79,050 /yearly
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- ...Review and process claims with a focus on accuracy and attention to detail Differentiate between claim forms, specifically CMS-1500 and UB-04s Analyze explanation of benefits (EOBs) and extract pertinent information Review medical records to identify...Cms
Equiliem
Boise, ID4 days ago - ...A healthcare organization is seeking a Medical Director to ensure healthcare services align with CMS guidelines. The role requires reviewing clinical cases for Medicare and Medicaid members, ensuring compliance, and participating in call rotations. Candidates must have...CmsRemote work
Humana
Boise, ID3 days ago $94k - $160k
Prime Therapeutics is seeking a Senior Program Manager to lead interoperability programs and ensure compliance with CMS mandates. This remote role requires a Bachelor's degree and 5 years of healthcare experience, along with project management skills. The position involves...CmsRemote workPrime Therapeutics
Boise, ID8 days ago- ...leading healthcare organization is looking for an RN to join its caring community. This position involves reviewing medical care against CMS Coverage Guidelines while collaborating with a dedicated team. Required qualifications include an active RN license and 3+ years of...CmsRemote work
Humana
Boise, ID4 days ago $35 - $45 per hour
A healthcare data collaboration platform is seeking an Inpatient Auditing Specialist to conduct audits, educate coders, and ensure compliance in coding practices. This fully remote role requires 3+ years of experience in coding and auditing, with a strong background in...CmsHourly payRemote workDatavant
Idaho Falls, ID4 days ago- ...with data systems and handling confidential information. Medical bill paying knowledge is appreciated. This includes understanding CMS-1500/UB-04 bills, reading Explanations of Benefits, and deciphering details from a medical record. Professional communication...CmsTemporary work
Equiliem
Boise, ID17 hours ago - ...Idaho Producers License and 1-year experience in sales. The specialist will guide Medicare-eligible individuals, ensure compliance with CMS regulations, and support cross-functional collaboration to enhance member experience. A robust benefits package includes competitive...Cms
- ...outlined by the MOD during briefing. Monitor arena to identify potential hazards or situations and communicate these to the MOD & Lead CMS. Provide support to guest services staff regarding guest complaints and incidents Diligently monitor and observe backstage...Cms
Block 22 LLC
Boise, ID2 days ago - ...health, hospice, and home care services. This role is critical for ensuring compliant revenue recognition under U.S. GAAP, ASC 606, and CMS rules. The ideal candidate will possess strong technical accounting expertise, including a deep understanding of healthcare...Cms
- ...CPR) 5. ACLS or Advanced Life Support within 12 months of employment, if appropriate 6. Must be eligible to participate with CMS programs Benefits offered: Competitive Pay (dependent on experience) Paid time off Health insurance Dental...CmsFull timeCurrently hiring
Grand Peaks Property
Idaho Falls, ID2 days ago $168k - $231k
Humana Inc in Boise, Idaho seeks a Director for the CMS & Provider Direct Channel to lead their connectivity strategy. The role involves overseeing compliance APIs and direct provider capabilities. Required qualifications include a Bachelor’s degree and 6+ years in interoperability...CmsRemote job- ...Solutions is seeking a detail-oriented claims examiner in Boise, Idaho. The role involves reviewing and processing claims, interpreting CMS-1500 and UB-04 forms, and analyzing EOBs. Ideal candidates will have demonstrable experience in claims examination with strong...Cms
- Benefits: 401(k) matching Paid time off Profit sharing Training & development We are seeking dedicated and compassionate individuals to join our team as Case Managers (CM) and Community Based Rehabilitative Specialists in Idaho. As a leading provider of community...Cms
One Love Agency
Boise, ID4 days ago - Job Description Job Description At McAlvain, our success is driven not only by technical expertise but by our culture, built on the strength and character of our people. We’re intentional about hiring and retaining individuals whose values and attributes align with...CmsContract workFor subcontractorWork at officeFlexible hours
McAlvain Companies, Inc.
Boise, ID29 days ago - ...detailed feedback. Candidates should hold a Bachelor's degree or equivalent experience, with a preference for those knowledgeable in CMS’s 1095-A and Microsoft Office tools. The position also requires a U.S. citizenship and offers opportunities to enhance program performance...CmsWork at office
- ...Accurately document patient care, observations, and updates Collaborate with interdisciplinary care teams Maintain compliance with DOL, CMS, and state regulatory requirements Qualifications Current RN license in the state of Idaho Current CPR certification...CmsFull timePart timeShift workNight shift
Nuclear Care Partners
Idaho Falls, ID2 days ago $27.02 - $41.85 per hour
...skilled HCC Coder based in Boise, Idaho. The role involves coding for Medicare Advantage and ACA programs, ensuring compliance with CMS guidelines while supporting several coding projects. Applicants should have extensive experience in HCC coding and hold relevant certifications...CmsRemote jobHourly payFull timeContract work$29.5 per hour
Job Description: We Deliver the Goods: Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Education Assistance, Paid Time Off, and much more Growth opportunities performing essential work...CmsHourly payFull timeLocal areaImmediate startMonday to FridayShift workCore-Mark
Hayden, ID17 hours ago$21 per hour
Maximus is seeking a Technical Support Specialist to provide remote support for the NPI Help Desk. This position requires a High School diploma and 0-2 years of experience. Key responsibilities include assisting in operational support, diagnosing technical issues, and documenting...CmsRemote jobHourly payMonday to Friday- Registered Nurse - Case Management We have a new opening for a Registered Nurse - Case Management at Mountain Home AFB in Arizona. Job Specific Details and Tasks: Coordinates and participates in interdisciplinary team meetings, designated facility meetings...CmsLocal areaMonday to Friday
Vantage Search Group Inc
Mountain Home, ID2 days ago - ...nursing excellence. In addition, we're the only Idaho hospital system to receive five-star Centers for Medicare and Medicaid Services (CMS) ratings and we've been named a Top 15 Health System in the nation for eight consecutive years. Sign on and relocation offered!...CmsFull timeRelocationNight shift
St. Luke's Health System
Meridian, ID4 days ago $1,802 - $1,872 per week
...good standing. - Charting systems: Epic experience required; familiarity with Scrubs. - Ability to work effectively in a fast-paced, CMS-focused care setting. - Onboarding requirements: core items/labs must be completed within 48 hours of contract signing; orientation...CmsWeekly payDaily paidOngoing contractContract workTemporary workLocal areaFlexible hoursShift workTLC NURSING SERVICES
Pocatello, ID13 hours agonew- Job Title: Integration Developer - Rhapsody/.NET Duration: 12 months Location: Boise, ID Interview Type: Either Webcam or In Person Work Arrangement: 100% Remote Job Description: Analyzes user requirements, procedures, and problems...CmsFull timeFor contractorsWork experience placementRemote work
Apollo ITS
Boise, ID2 days ago - Job Description Job Description Join Our Compassionate Team in Idaho! Are you a dedicated and compassionate individual passionate about making a positive impact? We invite you to join our team as a Case Manager (CM) or Community-Based Rehabilitative Specialist (CBRS...CmsHourly payFull timeWork at officeWeekend work
One Love Agency
Twin Falls, IDa month ago $71.7k - $158.4k
...with other members of the health care team Evaluates the patient's functional status, status of all body systems as required for CMS documentation, and occupational therapy needs. Consults with the physician in the development of the therapy plan of care Observes...CmsHourly payMinimum wageFull timeWork experience placementLocal areaUMR
Coeur D Alene, ID4 days ago$21 - $25 per hour
Responsive recruiter Benefits: ~401(k) matching ~ Company parties ~ Flexible schedule ~ Opportunity for advancement ~ Paid time off ~ Training & development One Love is seeking a dedicated, compassionate, and experienced...CmsHourly payWork at officeWork from homeFlexible hoursOne Love Agency
Boise, ID3 days ago- ...Certification of Physician Assistants required. Qualified under the rules of the DEA for prescriptive practices required. Qualified under CMS regulations for patient care and billing practices required. BLS Required. Current AHA Healthcare provider, American Red Cross,...CmsFull time
Kootenai Health
Coeur D Alene, ID17 hours ago $72k - $80k
...Clinical Social Worker Health Care Facility Surveyor in Boise, Idaho. The successful candidate will need a Master’s degree in Social Work, CMS’s Long-Term Care Basic Training, and SMQT certification. Responsibilities include managing the survey process for quality improvement...CmsFull timeFlexible hours- ...~300-bed Non-Profit Level II Trauma Center ~ Non-profit, non-union environment ~ Have consistently held a 4-star or 5-star CMS rating for the last decade ~ Recognized as a Top 100 Hospital in the Nation (Top 2%) per Healthgrades ~ Consistently named a Top...CmsPermanent employmentFull timeRelocation packageFlexible hoursShift work
Nealy Pierce, LLC
Twin Falls, ID2 days ago - ...What You'll Do Processing all contracts after acceptance, including Earnest Money, Loan Commitments, and Closed Sold change orders to CMs Program data entry (SalesForce, BuilderTrend, DotLoop) Assist with Brokerage and DotLoop audits Mylar audits Requirements Real...CmsFull timeContract work
