- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... 401(k) savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal, critical… more
- Ensemble Health Partners, Inc. (Amherst, OH)
- …LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between ... Amherst, OH. The Opportunity: We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all… more
- MetroPlusHealth (New York, NY)
- …including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, ... Yorkers to live their healthiest life. Position Overview As a Claims Adjustment Specialist I, this individual will be responsible for analyzing standard to complex… more
- Mindpath Health (Sacramento, CA)
- …and caring for the communities we serve. We're looking for a Credentialing Specialist who's passionate about process, detail, and making a meaningful impact behind ... and onboarding status. Supports with payor enrollment processes. Assists with Medicare & Medicaid revalidations. Manages independent projects as assigned. Identify… more
- Jupiter Medical Center (Jupiter, FL)
- …to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education High School Graduate or Equivalent Billing and ... and ability to carefully follow directions. Position Summary The Patient Access Specialist will be responsible for delivering a dynamic customer experience to all… more
- Ensemble Health Partners, Inc. (Fredericksburg, VA)
- …LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between ... work on-site. The Opportunity: We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all… more
- EvergreenHealth (Kirkland, WA)
- …*Knowledge and experience in working with health care insurers' and their reimbursement systems , especially Medicare , Medicaid, Workers Compensation, Motor ... Vehicle and contract payers. *A good understanding of CPT, Modifiers, HCPC, ICD-9 codes and medical terminologies. Benefit Information: Choices that care for you and your family At EvergreenHealth, we appreciate our employees' commitment and contribution to… more
- FROEDTERT HEALTH (Menomonee Falls, WI)
- …at North Hills 2 days a week Job Summary: The Revenue & Audit Specialist is responsible for ensuring accurate billing, reimbursement , and compliance for pharmacy ... technician is required. Experience with third party insurances including, but not limited to, Medicare and Medicaid is required. A minimum of 7 years of senior level… more
- SCAN (Long Beach, CA)
- Sales Operations Specialist Full-Time About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in ... member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Nevada,… more
- Polaris Pharmacy Services (Fort Lauderdale, FL)
- …FL Position Type Full Time Job Category Admin - Clerical Description BILLING SPECIALIST WHO WE ARE Polaris Pharmacy Services is an industry leader in both ... career advancement to all our team members. POSITION OVERVIEW The Billing Specialist ensures accurate billing for Nursing Homes, Assisted Living Facilities, Group… more
- Oxford Global Resources (Dallas, TX)
- Summary: The CDI Coding Specialist uses clinical knowledge to serve as an advisor to providers and staff regarding complete and accurate documentation supporting ... the diagnoses for the patient and supports patient care and correct reimbursement . Project Details: Perform retrospective chart reviews for improving the overall… more
- Long Beach Healthcare Center (Long Beach, CA)
- …knowledge of federal and state regulations, as related to position, and reimbursement ( Medicare , Medicaid and commercial) and provides support with applications ... every interaction. Requirements : You care. Bilingual Preferred Social Services Specialist Perks: Generous Bonuses Growth Opportunities - DOUBLE your salary Health… more
- Texas Health Resources (Dallas, TX)
- Admissions Specialist - Admitting ER Full Time Nights Bring your passion to Texas Health so we are Better + Together Work location: Texas Health Dallas - 8200 Walnut ... pre-certification for applicable tests and/or procedures. These efforts maximize reimbursement for services rendered Educates patients and/or families about… more
- Banner Health (Mesa, AZ)
- …criminal and education) are required. This position as a Patient Financial Specialist in Bone Marrow Pediatrics will be responsible for assisting with front ... all information into the patient records system to ensure maximum reimbursement . Monitors and updates information regarding insurance data, authorizations, preferred… more
- Ultimate (Tarpon Springs, FL)
- …Ultimate Staffing Services is actively seeking a detail-oriented Medical Insurance Collections Specialist to join their client's team in Florida. This role is ... in managing the collection of outstanding insurance balances, ensuring timely reimbursement of claims, and maintaining compliance with federal and state regulations.… more
- Optum (San Juan, PR)
- …Coverage, Federal and State Statues, Rules and Regulations Knowledge of Medicaid/ Medicare Reimbursement methodologies Working knowledge of the healthcare ... and pursue recoveries Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance Use pertinent data and facts to… more
- South Shore Health (Weymouth, MA)
- …insurance coverage requirements. Obtains physician written concurrence when necessary; eg, Medicare patients. Informs the patient and/or next of kin when insurance ... terminated for the current admission. Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when patient condition becomes acute… more
- Northwest Specialty Hospital (Post Falls, ID)
- …AVAILABLE FOR THIS POSITION** In this role, the Certified Medical Assistant or LPN Specialist will primarily be in charge of Medicare Wellness visits. This ... coverage with options for Medical, Dental, & Vision Insurance Tuition reimbursement Growth opportunities, ongoing education, training, and leadership courses A… more
- Heart to Heart Hospice (Dallas, TX)
- Community Education Representative - Post Acute Specialist What You Must Have: Bachelor's degree in marketing, Business Administration, or a health-related field or ... of business management and a strong knowledge of the Medicare Hospice Benefit and skilled nursing payer benefits Must...up to 4% employer matching - 100% vested Tuition reimbursement Excellent sales orientation and ongoing training What You… more
- PACS (Cooper, TX)
- …families. What You'll Do: Billing & Financial Management - Assist with Medicaid, Medicare , and private pay billing, manage resident accounts, and ensure payments are ... - Ensure we meet all federal, state, and local regulations, including HIPAA, Medicare , and Medicaid guidelines. Teamwork Makes the Dream Work - Work closely with… more
