- 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 ... of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems , and Local Clinics and uses this to identify business opportunities and… more
- Ensemble Health Partners, Inc. (Fairborn, OH)
- …provider of technology-enabled revenue cycle management solutions for health systems , including hospitals and affiliated physician groups. They offer end-to-end ... Center in Fairborn, OH We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients… 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
- OhioHealth (Dublin, OH)
- We are more than a health system . We are a belief system . We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use ... 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
- AdaptHealth LLC (Des Moines, IA)
- …required to understand flow of data through systems as well as system interaction General knowledge of Medicare , Medicaid, and Commercial health plan ... Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System ) and "How-To"… more
- SSM Health (Madison, WI)
- …reimbursement of equipment/supplies. Performs accurate data entry into operating system and processes orders for appropriate equipment/supplies to ensure delivery ... orders and prior authorization for appropriate equipment/supplies. Ensures compliance with Medicare , Medicaid and Accreditation Standards. Works in a constant state… more
- Polaris Pharmacy Services (Fort Lauderdale, FL)
- …for career advancement to all our team members. OVERVIEW As a Collections Specialist , you will be responsible for monitoring the receivables on patient accounts in ... resolving any resident questions or concerns. In addition, the Collections Specialist will: Collect information and verify account-specific billing, insurance, 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
- AdaptHealth LLC (High Point, NC)
- …and possess the technical aptitude required to understand flow of data through systems as well as system interaction Requirements Minimum Job Qualifications: ... apply, we would love to hear from you. Intake Specialist The Intake Specialist has a broad...appropriate physician for signature/completion. Accurately enters referrals into appropriate system based on the type of referral obtained. Works… more
- Helping Hand (La Grange, IL)
- …Shift Day Job Category Accounting Description ABOUT THE ROLE: The Billing Specialist is responsible for working with the Billing Coordinator in overseeing ... TYPICAL DAY FOR YOU AT HH: Process claims for Medicare , Medicaid, HMO's and PPO's, and all other private...credit balance resolution with accuracy. Maintain the client billing system ensuring all client information is updated. Initiate, complete… more
- Bluebird Health (Meridian, ID)
- …Collaborates with the Executive Director in successfully reconciling the billing system reports with the general ledger. Reconciles Medicare quarterly ... reports produced by the fiscal intermediary with the billing information system , and prepares the annual Medicare cost report for Executive Director review.… 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
- 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
- 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 ... requires. Successful candidates are empathetic, detail-oriented, and skilled at navigating complex systems to support patients in receiving the care they need. Work… 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
- 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 ... *Competent with Microsoft products, Salesforce, and remote patient monitoring systems *Excellent communication skills and cross-collaboration between different modalities… more
- State of Florida (Clearwater, FL)
- …Agency for Health Care Administration Working Title: 68064198 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68064198 Salary: $1,915.08 - ... The Work You Will Do: The primary function of the Registered Nurse Specialist is to conduct inspections utilizing an established survey process. The survey process… more
- Strategic Health Partners (Kennesaw, GA)
- …payer timeframes and are documented appropriately in the patient accounting system . Additionally, the AR representative will be responsible for the tracking ... tools and appropriately reporting on-going problems specific to payers, health system departments, and/or contracts. The AR representative will work closely with… more
- Homeward (Chicago, IL)
- …are facing a crisis of access to care. In the US healthcare system , rural Americans experience significantly poorer clinical outcomes. This trend is rapidly ... that have historically limited access and quality. Homeward supports Medicare -eligible beneficiaries by partnering with health plans, providers, and communities… more
- BioTAB Healthcare (Houston, TX)
- …delivering expert care with a personal touch service. The Vascular Sales Specialist focuses on building and maintaining relationships with clinicians for pneumatic ... to: CMS and OFCCP guidelines related to our Quality Management System , documentation and process creation and training. Strong communication and interpersonal… more
