- 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
- PruittHealth (Norcross, GA)
- …*In-depth knowledge of various billing documentation requirements, the patient accounting system , and various data entry codes to ensure proper service documentation ... functions in non-acute setting *Knowledge of Patient Management information system applications, preferably MatrixCare, as well as spreadsheet, word processing,… more
- Ensemble Health Partners, Inc. (Greenville, SC)
- …provider of technology-enabled revenue cycle management solutions for health systems , including hospitals and affiliated physician groups. They offer end-to-end ... - St Francis - Eastside- in Greenville, SC The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at… more
- Ensemble Health Partners, Inc. (Philadelphia, PA)
- …provider of technology-enabled revenue cycle management solutions for health systems , including hospitals and affiliated physician groups. They offer end-to-end ... PA Shift Hours: 3:00p-11:30p We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all… more
- Astrana Health, Inc. (Houston, TX)
- Risk Adjustment Coding Specialist II (Houston, TX) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 19500 HWY 249, Suite 570 Houston, TX ... are currently seeking a highly motivated Risk Adjustment Coding Specialist . This role will report to a Sr. Manager...diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk… more
- AdaptHealth LLC (Denver, CO)
- …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
- Turnwell Mental Health Network, Inc. (Dallas, TX)
- Job Type Full-time Description The Credentialing Specialist plays a critical role in supporting Turnwell's mission by ensuring that all providers are credentialed, ... and submit credentialing and enrollment applications to commercial insurance payors, Medicare , and Medicaid. Maintain accurate and up-to-date provider data in… more
- Savista (Raleigh, NC)
- …Collections experience Experience with performance metrics and goals. Experience with dual monitoring systems . Experience with utilizing a dialer system and EMR ... our values of Commitment, Authenticity, Respect and Excellence (CARE). The Shared Services Specialist not only acts as an advocate for the customer, but also serves… more
- Monument Health (Box Elder, SD)
- …with heart. That is what you will do each day. As a Patient Access Specialist I at Monument Health, you can begin your healthcare career with no experience ... make a difference. Every day. As a Patient Access Specialist I, you are responsible for the integrity of...activities. Demonstrates knowledge of payer information and benefits, including Medicare , Medicaid, and commercial payers as well as third… more
- Trinity Health (Howell, MI)
- …identification, demographic information, and insurance coverage into hospital information system (s), to ensure accurate and timely submission of claims. Determines ... Educates patients/families on the use of registration kiosks or online systems . Identifies non-routine complex issues and escalates to Patient Access Lead… 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
- WMC Health (Valhalla, NY)
- Job Details: Job Summary: The Authorization Specialist is responsible for performing complex clerical procedures related to verifying insurance information and ... established rules, procedures, specified time frames, and regulatory requirements. The Specialist processes clinical information in a timely manner to prevent… more
- UHS (Palmdale, CA)
- …knowledge of current ICD-10-CM coding guidelines, with working knowledge of Medicare reimbursement system required. Working knowledge of inpatient admission ... Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist . Duties include but not limited to: Providing clinically based concurrent… more
- Los Angeles Metro (Los Angeles, CA)
- …Exempt Bargaining Unit: Non-Contract Metro's mission is to provide a world-class transportation system that enhances the quality of life for all who live, work, and ... deny participation in the application process to anyone with prior justice system involvement, in line with hiring practices. Selection Procedure Applicants who best… more
- Beloit Health System (Beloit, WI)
- …more. EOE Come join our team today! No Recruiters/Staffing Companies Beloit Health System has an immediate Patient Financial Services Specialist II opening. This ... resolution for institutional and professional claim management in the Medicare Direct Date Entry (DDE) system Knowledge...in the Medicare Direct Date Entry (DDE) system Knowledge of advanced patient accounting processes and healthcare… more
- Trinity Health (Columbus, OH)
- …8/10/2025 and to end 04/04/2026 Why MediGold? MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries ... analysis, audit, provider relations and more. About the job: Provider Service Specialist responds in a timely and accurate manner to provider inquiries made… more
- Hospital for Behavioral Medicine (Worcester, MA)
- …of one (1) years' experience in facility billing experience with knowledge of Medicare DDE and computerized systems strongly preferred, or related field, or ... Job Category Finance Description JOIN OUR TEAM AS A HOSPITAL BILLING SPECIALIST ! Status: Full-Time (On-site only - no remote) Bonus Opportunity: MONTHLY INCENTIVE… more
- Halifax Health (Port Orange, FL)
- Day (United States of America) Quality Improvement Specialist Responsible for review/extraction of patient care data related to the Hospice Quality Reporting Program ... accuracy and completeness of information prior to submission to Centers for Medicare and Medicaid Services (CMS). Responsible for coordinating the collection of… more
- OneDigital (Chicago, IL)
- …lives by providing outstanding health and wellness products and experiences for Medicare recipients. Monthly Bonus Potential The average monthly bonus ranges from ... will help individuals through the important decision-making process of selecting a Medicare health insurance plan that matches their needs and assist the consumer… more
- AIDS Healthcare Foundation (Newnan, GA)
- …for accuracy and completeness. *Ensures up-to-date patient information on computer systems and patient medical records. *Maintains stock of all Healthcare Center ... of the office supply cabinet. *Utilizing AID Atlanta approved computer information systems , provides data entry for services and billing information. Ensures that… more
