- Novo Nordisk Inc. (Kissimmee, FL)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... experience working in one or more of the following areas preferred : Pharmaceutical/Healthcare, Sales, Consulting, Customer Service or Military Intermediate computer… 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 ... current job opportunities below. Job Title: Grievance & Appeals Nurse Specialist Department(s): Grievance and Appeals Resolution Services (GARS) Reports to: Manager… more
- Legacy Community Health (Houston, TX)
- …today in less than 3 minutes using your phone, tablet, or computer! Eligibility Specialist Bilingual - LGC (Mon-Fri 8AM - 5PM) Position Overview Join the innovative ... team at Legacy Community Health as a bilingual Eligibility Specialist , where your passion for community healthcare will make a tangible impact in the Houston area.… more
- OhioHealth (Dublin, OH)
- …School or GED (Required) Additional Job Description: Knowledge of medical terminology is preferred . Knowledge of Medicare , Medicaid, and Insurance billing is ... need to check in for procedures and how to come prepared. The Billing Specialist is responsible for providing complete, accurate, and timely billing. They may also… 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
- 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
- CVS Health (Chicago, IL)
- …with heart, each and every day. Company: Oak Street Health Title: Behavioral Health Specialist - Requires LCSW, LCPC, LMHC, LMFT Role Description: The purpose of a ... Behavioral Health Specialist at Oak Street Health is to provide care...US work authorization Someone who embodies being "Oaky" Strongly Preferred : Proficiency in providing brief, structured intervention techniques (eg,… more
- AdaptHealth LLC (Des Moines, IA)
- …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
- Hawkeye Care Center (Urbandale, IA)
- …driven, and detail oriented. Essential Functions and Responsibilities: The Billing Specialist is responsible for the full-cycle billing processes These duties ... include, processing monthly skilled nursing facility claims for Medicare , Medicaid, Private payers and third-party insurances, posting insurance payments, working… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Claims Resolution Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed to ... explore our current job opportunities below. Job Title: Claims Resolution Specialist Department(s): Customer Service Reports to: Supervisor Customer Service Hourly:… more
- Savista (Tempe, AZ)
- …of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose The Eligibility Specialist II is a critical advocate for patients, helping uninsured and ... programs. Facilitate the application process for programs such as Medicaid, Medicare , Disability, hospital charity care or unique requirements for non-traditional… more
- Jewish Family Services, Inc (Milwaukee, WI)
- Job Type Full-time Description The Medical Billing Specialist will act as the contact between third party billing company, BillCare, and Jewish Family Services (JFS) ... revenue issues observed Clinical Credentialing Support Serve as primary credentialing specialist and seeking back-up support, as needed. Assist in maintaining a… more
- Bluebird Health (Meridian, ID)
- …payers. Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for ... reconciling the billing system reports with the general ledger. Reconciles Medicare quarterly reports produced by the fiscal intermediary with the billing… more
- GastroIntestinal Associates, SC (Wausau, WI)
- Patient Benefits Specialist / Prior Authorization Specialist If you're detail-oriented and passionate about helping patients navigate their healthcare coverage, ... job for you! We're looking for a Patient Benefits Specialist to join our growing team! In this role,...to coordinate referrals to outside facilities or providers. Verifies Medicare , Medicaid and health insurance eligibility prior to upcoming… more
- Kestra Medical Technologies, Inc (Detroit, MI)
- …care teams harmoniously monitor, manage, and protect life. The Clinical Account Specialist (CAS) will be responsible for providing high quality touchpoints in key ... in state of residence with a good driving record Preferred : *Bachelor's degree; or higher *Prior experience working in...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- SCAN (Long Beach, CA)
- Customer Service Specialist - Bilingual Required ( Mandarin or Cantonese) Hybrid ( San Gabriel Valley) Full-Time About SCAN SCAN Group is a not-for-profit ... member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and… more
- AdaptHealth LLC (Knoxville, TN)
- …please click to apply, we would love to hear from you. Inside Sales Specialist The Inside Sales Specialist is responsible for ensuring continuity between the ... documentation, and reimbursement guidelines/ issues, including but not limited to Medicare , Medicaid, Other Third Party, and contracted payers Assist patients and… more
- ARStrat (Phoenix, AZ)
- …(Hours adjusted for PST and MTN) APPLICANTS IN PACIFIC OR MOUNTAIN TIME ZONES PREFERRED . * Pay rate is $17/hr. Position is quarterly bonus eligible. The functions ... AND EXPERIENCE High school diploma required or GED required; additional education preferred Two to five years industry experience in medical revenue cycle management… more
- Augusta Health (Fishersville, VA)
- …history, education and other qualifications for future consideration. The Pre-Visit Specialist I : provides scheduling, pre-registration and other pre-visit revenue ... and billing information, verifying insurance coverage and benefits, reviewing Medicare medical necessity, providing out-of-pocket payment estimates and collecting… more
