- 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 ... 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
- Southern Glazer's Beverage Company (Boston, MA)
- …paid Life Insurance Confidential Employee Assistance Program Supplemental Insurance options Medicare Specialist for retirement planning 100% paid tuition for ... WSET and Cicerone certification programs EEO Employer Statement: Southern Glazer's Beverage Company, an Affirmative Action/EEO employer, prohibits discrimination and harassment of any type and provides equal employment opportunities to all employees and… 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
- Ensemble Health Partners, Inc. (Fairborn, OH)
- …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 ... and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms,… 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)
- …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 ... Job Description: Knowledge of medical terminology is preferred. Knowledge of Medicare , Medicaid, and Insurance billing is preferred. Knowledge of Microsoft Office… 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
- SSM Health (Madison, WI)
- …orders and prior authorization for appropriate equipment/supplies. Ensures compliance with Medicare , Medicaid and Accreditation Standards. Works in a constant state ... of alertness and safe manner. Performs other duties as assigned. EDUCATION High School diploma/GED or 10 years of work experience EXPERIENCE Two years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.… 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
- 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
- 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...be'', providing personalized primary care for older adults on Medicare , with the goal of keeping patients healthy and… 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 ... (PSLF) Program. A TYPICAL DAY FOR YOU AT HH: Process claims for Medicare , Medicaid, HMO's and PPO's, and all other private insurances. Apply cash receipts… 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 (Chicago, IL)
- …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
- AdaptHealth LLC (High Point, NC)
- …lives, please click to apply, we would love to hear from you. Intake Specialist The Intake Specialist has a broad range of responsibilities including accurate ... and appropriately utilizing technology to notate patient information/communication. Intake Specialist 's schedules can vary based on the need of...is considered any of the above tasks in a Medicare certified HME, IV or HH environment that routinely… 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
- Community Mental Health Authority of Clinton, Eaton,… (Lansing, MI)
- …procedure consisting of: Michigan State Police clearance check, Medicaid/ Medicare verification, verification of an acceptable driving record, educational ... background check, and verification of an acceptable work history. Must be able to pass a pre-employment 5-panel drug screen. To Apply: Applicants must submit an employment application. Resumes cannot be substituted for the employment application. CMHA-CEI's… more
