- Guardian Pharmacy, LLC (Marietta, GA)
- …rebill claims as necessary. Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid , Prescription Drug Plans (PDPs) and ... and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients,… more
- Sevita (Minneapolis, MN)
- Accounts Receivable Collections Specialist Do you have experience in Accounts Receivable/Collections and a desire to work for a company that positively impacts the ... lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment...without a payer response once past 30 days from billing Work credit balances on the aging and overpayment… more
- Chimes (Exton, PA)
- …documentation for re-authorizations, as necessary, promptly Obtain and submit time cards, billing forms, and all necessary clinical documentation from all staff on ... the established schedule Verify the accuracy of all payroll and billing documentation before submission Submit only valid and reasonable program expense… more
- EnableComp (Franklin, TN)
- …lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By ... Responsibilities Assists in designing, implementing, and conducting various types of corporate training with an emphasis on revenue cycle complex claims education… more
- PruittHealth (Charlotte Hall, MD)
- **JOB PURPOSE:** The Business Office Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing ... on Medicaid and compliance. This position is responsible for assisting...in the management of resident private pay accounts, including billing , collections, and financial reporting. 5. Ensure compliance with… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Corporate Offices **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 0.5 **Shift Start Time** **Shift End Time** ... - The American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA);… more
- NHS Management, LLC (Pleasant Grove, AL)
- …and directed by Administrator, Financial Specialist , or facility corporate management. Qualifications + Healthcare billing and collection experience ... office related tasks, including but not limited to: + Medicaid , Medicare and/or secondary billing + Assist...directed by Administrator, Financial Specialist , or facility corporate management. Qualifications + Healthcare billing and… more
- Aston Carter (Portland, OR)
- …A leading healthcare organization is seeking a detail-oriented Medical Accounts Receivable Specialist to join its billing and reimbursement team. This role ... records of patient interactions and payment history. + Ensure compliance with Medicare/ Medicaid regulations and insurance contracts. + Utilize billing and… more
- Henry Ford Health System (Troy, MI)
- …resolve issues at a high level. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement, and other third- party billing rules/coverage, preferred. + ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with Revenue Cycle… more
- Henry Ford Health System (Troy, MI)
- …and federal and state regulations related to rules/coverage. + Knowledge of Medicare, Medicaid , Blue Cross and other third-party payers billing and reimbursement ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Principal Specialist has an important role in a high-profile group tasked with improving… more
- Select Medical (Camp Hill, PA)
- **Overview** **Medicare Exhaust Specialist ** **ON-SITE** **Starting Hourly Rate $20 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our dynamic ... to bill and collect from all insurances involved; Medicare, Medicaid , Commercial, etc. Their goal is to accurately collect...exhausted. + Once patient determined to be Medicare Exhaust, specialist files Medicare part A and part B claims… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …in the Billing /Entitlements shared drive. + Complete NYC & NYS Medicaid recertification packets for all service recipients within congregate care level II and ... Eligibility Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now… more
- Trinity Health (Livonia, MI)
- …Human Services (DHHS) - Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Department of Justice (DOJ) as well as input received from ... monitoring changes in laws, regulations and business ethics practices impacting corporate compliance programs. Assists management in ensuring the ICP fully meets… more
- Select Medical (Camp Hill, PA)
- **Overview** **Senior Claims Resolution Specialist ** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are you ... results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you...denial, or that are greater than 30 days from billing . Contact responsible party to establish reason for non-payment… more
- Kaniksu Community Health (Priest River, ID)
- …Year round, affordable on-site childcare at KCH Kid's Club The Patient Assistance Specialist plays a vital role in supporting individuals and families as they ... navigate health coverage options including Medicaid , the Children's Health Insurance Program (CHIP), and Qualified...navigator and a trusted resource connector, the Patient Assistance Specialist works one-on-one with patients to reduce barriers to… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …encourage you to apply! Job Description: Summary: The Customer Care Field Relations Specialist acts as the Face of the Organization by providing in-person support ... and leadership on-site at business and partnership locations. Field Relations specialist additionally functions as an external business liaison and develops… more
- BlueCross BlueShield of North Carolina (NC)
- …Clinical Documentation Review, Hyper Text Markup Language (HTML), ICD Coding, Medicaid , Medical Billing and Coding, Medical Documentation, Medical Insurance ... patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** + Analyzes necessary documentation, including medical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The **Physician Practice Compliance Specialist ** is responsible for assuring on-going compliance by actively participating in ... physician practice regulatory environment in consultation with the Director of Corporate Compliance. This position proactively assesses changes in the regulatory… more
- Insight Global (Dayton, OH)
- …An employer in the Dayton, OH area is seeking a Claims Operations Specialist III for a direct-hire opportunity. This person will be providing analytical support ... and keep up regulatory reporting such as CMS and Medicaid Prompt Pay. They also will be tasked with...act as the primary claims representative and SME for corporate projects as well as external audits, and lead… more
- University of Utah Health (Salt Lake City, UT)
- …for obtaining and coordinating all necessary provider enrollment applications for billing to Medicare, Medicaid and Contracted Insurance Payers. Functionally, ... the physician group, individual physician records, regulatory, and hospital contract compliance. Corporate Overview: The University of Utah is a Level 1 Trauma… more
