- Novo Nordisk Inc. (Kissimmee, FL)
- …current co-promotion partners. Internally, the DCS I report to the District Business Manager of the specific sales territory. The DCS I also interact and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Grievance & Appeals Nurse Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed to ... our current job opportunities below. Job Title: Grievance & Appeals Nurse Specialist Department(s): Grievance and Appeals Resolution Services (GARS) Reports to: … more
- Rush (Chicago, IL)
- …depending on the circumstances of each case. Summary: The Admissions Registration Specialist I is responsible for reviewing patient registration for all types of ... is complete and current with each patient visit. The Admissions Registration Specialist I will assist patients with understanding their insurance options and… more
- Strategic Health Partners (Kennesaw, GA)
- …related to denials and delayed adjudication; communicate those issues to Manager . *Transmit required documentation to Government and third-party payers for the ... the field of healthcare revenue cycle including knowledge of commercial, Medicare , Medicaid, VA, Tricare and Worker's Comp payers. Insurance Follow-up required… more
- Insight (Chicago, IL)
- …with patient safety and quality improvement initiatives as outlined by Medicare , the Joint Commission, and other agencies where appropriate antimicrobial use ... organizations pertaining to antimicrobial programs. Reports daily to Clinical Pharmacy Manager on overall operations, projects assigned, and expectations of overall… more
- Beth Israel Lahey Health (Burlington, MA)
- …job, you're making a difference in people's lives. Under general supervision of the Manager of the Office of Sponsored Research, the Contracts Specialist works ... research agreements in accordance with Lahey and BILH policies. The Contracts Specialist reviews and negotiates contract terms and conditions, develops and maintains… more
- City of Coronado, CA (Coronado, CA)
- …The Organization The City of Coronado is accepting applications for Payroll Specialist The Department of Administrative Services is responsible for the divisions of ... the administrators of the City's financial system. The Position The Payroll Specialist is a stand-alone journey-level classification that is assigned to the… more
- Lake Worth Independent School District (Fort Worth, TX)
- Job Title: Payroll Specialist Wage/Hour Status: Nonexempt Reports to: Benefits & Payroll Manager , HR Director Dept./School: HR/Business Services Date Revised: ... Child Support agencies, TWC, TRS, Federal Insurance Contributors' Act (FICA), Medicare , Texas New Hire Reporting, and Workers' Compensation Commission. Process all… more
- Beth Israel Lahey Health (Burlington, MA)
- …a difference in people's lives. Under general direction, the Research Program Manager will be responsible for managing, promoting, cultivating and overseeing all ... the department. Acquires detailed knowledge of studies so to serve as a specialist ; Grasps the scope and objectives of projects. Triages calls from physicians,… more
- Honest Health (Albany, NY)
- …Stakeholders may include personnel at skilled nursing facilities (SNFs), specialist practices, and hospital systems. Utilize in-person, electronic, and/or telephonic ... models preferred Proven work experience as a Clinical Practice Manager or a similar role in healthcare management Strong...Ability to manage multiple priorities and keep up with Medicare policies, processes, and procedures Ability to arrange and… more
- APLA Health (Los Angeles, CA)
- …SUMMARY: Under the direction of the Clinic Director II, the Clinic Manager , GCHC-Annex is responsible for the coordination and supervision of non-clinical operations ... (eg interpreter services, transportation). Work with the transitions of care specialist to coordinate ED/ER follow up patient appointments. Work in conjunction… more
- EmergeOrtho (Asheville, NC)
- …managed care basics, and experience working with a managed care and Medicare population Comfortable using email, interacting with Internet applications and other ... Work in partnership with the patient's primary care physician or specialist to obtain medication recommendations in compliance with ASRA guidelines Present… more
- COMMUNITY HEALTH GROUP (Chula Vista, CA)
- …(DHCS), the National Committee for Quality Assurance (NCQA), the Centers for Medicare and Medicaid (CMS), and based on evidence-based standards of practice. ... Quality Nurses, the Grievances and Appeals Supervisor, and the Corporate Quality Specialist in the performance of their role and position description. Oversees and… more
- State of Washington (Olympia, WA)
- …experience working with at-risk or justice system involved youth as a case manager ; counselor; probation or parole officer; or in a social services capacity ... throughout the application/interview process, contact David Ozment (Talent Acquisition Specialist ) at If you're experiencing technical difficulties creating, accessing… more
- Regency Integrated Health Services (Cuero, TX)
- …accurate and timely completion of resident assessments in accordance with Medicare , Medicaid, OBRA and other payer program requirements. Ensures assessments ... the referral source(s). Ensures accurate and timely completion of all Medicare /Medicaid case-mix documents to assure appropriate reimbursement for services provided… more
- Albany Med (Albany, NY)
- …Substance Abuse Specialist . Works collaboratively with the medical provider, case manager , psychiatrist (if warranted), and other team members in the delivery of ... as a participating provider with managed care private insurance plans, Medicare , and Medicaid. Experience working with a medically compromised patient population… more
- Banner Health (Goodyear, AZ)
- …therapy teams with a robust clinical support team: a field preceptor, an IT specialist , scheduler, therapy supervisor, and nurse manager . Our agency strives for ... measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This position is… more
- Banner Health (Wickenburg, AZ)
- …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... and challenges), an in office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed to assist field… more
- Banner Health (Casa Grande, AZ)
- …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... and challenges), an in office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed to assist field… 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 ... benefits are exhausted. + Once patient determined to be Medicare Exhaust, specialist files Medicare ...and actions taken on individual accounts to Business Office Manager with the goal of making decisions on revenue.… more
