- Northside Hospital Inc. (Atlanta, GA)
- …of a career at Northside today. Responsibilities Bills and collects on Medicaid/ Medicare accounts in a timely and accurate manner. Qualifications REQUIRED: One (1) ... year experience in billing, OR Associate's Degree in Business. Good verbal communication skills and basic typing ability. PREFERRED: BS degree in Business or Accounting. Two (2) years experience in insurance billing, or related area. Prior hospital or… more
- CenCal Health (Santa Barbara, CA)
- …- $53.31 per hour Job Summary The expectation for the Member Services Specialist is to provide robust customer service for CenCal Health's CareConnect members and ... the Plan's strategic goals and Mission. In this role, the Member Services Specialist provides proactive and compassionate support to CenCal Health members. This role… more
- Novo Nordisk Inc. (Traverse City, MI)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Requirements, Step Therapy, Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to… more
- Wilson Health (Sidney, OH)
- …SUMMARY: Under the direction of the Manager of Patient Accounts, the Medicare /Medicaid Professional Billing Specialist releases Medicare /Medicaid HMO and ... claims electronically, and mails hard copy 1500 claims as required. The Medicare Billing Specialist will follow up on unpaid claims and rebill or Appeal claims… more
- University of Southern California (Los Angeles, CA)
- The Transplant Charge Specialist (TCS) is responsible for the comprehensive review of charges under the transplant program and revenue capture surrounding transplant ... services and Medicare cost report (MCR) requirements. This includes but not...(ie heart, lung, liver, kidney, pancreas, etc.) for commercial, Medicare , hospital-based, provider-based inpatient and outpatient transplant accounts to… more
- UHS (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented part-time Pre-Services Specialist . The PT Pre-Services Specialist is responsible for taking inbound ... and pre-registering patients in the SMS and Cerner systems. The PT Pre-Services Specialist will also be responsible for attempting to collect co-pays and deductibles… more
- Center for Elders' Independence (Oakland, CA)
- …integrated healthcare services to the elderly. Position Description: The Intake Specialist I (IS I) will navigate the intake/enrollment process and introduce ... all state, federal, and company specific requirements. The hourly range for the Intake Specialist I position at Center for Elders Independence is $ 27.08 per hour to… more
- CareStar, Inc. (Columbus, OH)
- Assessment Specialist (Specialized Recovery Services Program) - Franklin and Surrounding Counties Ready to join a growing company whose work profoundly impacts ... business leaders/professionals? CareStar, Inc. is currently seeking an Assessment Specialist in the Operations Department to conduct assessments the Specialized… more
- CVS Health (Flushing, NY)
- …with heart, each and every day. Company: Oak Street Health Title: Behavioral Health Specialist , - LCSW, LPC, LMHC, LMFT Required - Bilingual Spanish Required Sign On ... $5000 Role Description: The purpose of a Behavioral Health Specialist at Oak Street Health is to provide care...be, providing personalized primary care for older adults on Medicare , with the goal of keeping patients healthy and… more
- Medical Express Ambulance Service (Skokie, IL)
- MedEx Ambulance Service is seeking a full time, experienced Ambulance Billing Specialist . The duties include data entry, coding, medical necessity, and day-to-day ... billing. Applicants must have ambulance billing experience, including knowledge of Medicare and Medicaid compliance, coding, billing, posting, and good computer… more
- Ensemble Health Partners, Inc. (Toledo, OH)
- …at Mercy - St. Anne Hospital in Toledo OH The Senior Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services ... held accountable for point of service goals as assigned. Senior Patient Access Specialist staff are responsible for the utilization of quality auditing and reporting… more
- Ciena Healthcare Management, Inc. (Southfield, MI)
- The Billing Specialist is responsible for the monthly billing and follow-up function for the residents of the facilities from the corporate office. Billing includes ... Medicare , Medicaid, and Insurances as assigned. This role is on-site at our corporate headquarters in Southfield, MI. Join us with an attractive benefits offering:… more
- Medical Mutual (Cleveland, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Builds and sustains ... *5 years of progressive experience as a Clinical Vendor Partnerships Specialist or equivalent proven experience in vendor/relationship management, procurement, or… more
- The Wright Center Medical Group (Scranton, PA)
- Job Type Full-time Description POSITION SUMMARY The Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing ... Specialist , a key position in the Revenue Cycle, facilitates...members regarding claim appeals, denials, resolution, and education Understand Medicare , Medicaid and other commercial payer rules and regulations… more
- AdaptHealth LLC (Aberdeen, NC)
- …click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire ... Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents… more
- Ensemble Health Partners, Inc. (Greenville, SC)
- …St Francis - Eastside in Greenville, SC The Opportunity: The Patient Access Specialist is responsible for performing admission duties for all patients admitted for ... and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms,… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... federal). In this role, the Regulatory Audits & Monitoring Specialist will assist in the coordination of all components...audit results and/or change in regulations Work with the Medicare Compliance team when new regulations are released to… more
- CVS Health (Burton, MI)
- …each and every day. Brief Description Oak Street Health's graduate Behavioral Health Specialist Fellowship is a 12-month paid training program that provides all the ... for older adults. Role Description: Oak Street Health's graduate Behavioral Health Specialist Fellowship is a 12-month paid training program in the revolutionary… more
- Aveanna Healthcare (Clark, NJ)
- Position Overview As an Operations Specialist , you will be an integral part of the team, contributing to the seamless functioning of various office operations. This ... in customer service, personnel and operations support. The successful Operations Specialist will excel in a dynamic environment, demonstrating the ability to… more
- Pyramid Consulting, Inc. (Houston, TX)
- Immediate need for a talented Authorization Specialist . This is a 12+months contract opportunity with long-term potential and is located in TX (Remote) . Please ... documentation, etc. Processing for teams including Concurrent Review, Behavioral Health, and Medicare , etc. - department is open 7 days/week because of this level… more
