- Genmab (Berkeley Heights, NJ)
- …(IV and oral) product reimbursement, including but not limited to Medicare , Medicaid and commercial insurance carriers, Prior Authorization ... we would love to have you join us!Patient Access Specialist , Call Center Operations The Patient Access Specialist...in case management, phone-based support work and the health insurance landscape. Patient Service Specialists are critical in the… more
- CHINESE AMERICAN PLANNING COUNCIL (New York, NY)
- …Reporting to the Program Director, the full-time Entitlement Benefits Specialist provides comprehensive prescreening and assistance for government entitlement ... benefits and immigration benefits. The Specialist will engage in multi-faceted activities to reach communities...individuals and families with the SNAP application process and follow -up to ensure that benefits are received. Engage in… more
- Tidelands Health (Murrells Inlet, SC)
- …and help people live better lives through better health!** **Patient Services Specialist /Lead (IV)** Are you passionate about quality and committed to excellence? ... as necessary. For procedures, the employee may pre-register the patient, verifying insurance , etc. In addition, the employee may assist with making referrals. The… more
- Accessia Health (Midlothian, VA)
- …their needs. Advocate and act in the best interest of the patient with insurance and COBRA administrators, when applicable Follow up as necessary with patient ... POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services Supervisor POSITIONS...case management. In-depth knowledge of private and public health insurance plans ( Medicare , Medicaid, COBRA, Marketplace) and… more
- Stony Brook University (East Setauket, NY)
- …with Cerner Invision and/or Cerner Millennium Patient Accounting. + Experience in Insurance Verification. + Experience working in Medicare FSS DDE system. ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...including but not limited to: billing, claims analysis appeals, follow -up, financial assistance and customer service. **Duties of a… more
- Stony Brook University (Stony Brook, NY)
- …performing billing processes and troubleshooting billing questions according to NYS DOH, Medicare , Medicaid and patient insurance regulations. d. Monitors the ... Specimen Receiving/Reference Laboratory Specialist **Position Summary** At Stony Brook Medicine, a...(invoices). Ensures tests are ordered, performed, and billed per Medicare /OIG regulations. f. Audits all test credits performed in… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- Tidelands Health (Myrtle Beach, SC)
- …as necessary. For procedures, the employee may pre-register the patient, verifying insurance , etc. In addition, the employee may assist with making referrals. The ... enters required information for registration into the electronic health system. Follow prescribed procedures for positive identification and medical record number… more
- Tidelands Health (Murrells Inlet, SC)
- …as necessary. For procedures, the employee may pre-register the patient, verifying insurance , etc. In addition, the employee may assist with making referrals. The ... enters required information for registration into the electronic health system. Follow prescribed procedures for positive identification and medical record number… more
- PharmaCord (Lexington, KY)
- …reimbursement processes. The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, ... industry standards related to access and affordability, including HIPAA and insurance guidelines. Managed through call/contact center structure, this role supports… more
- Tidelands Health (Murrells Inlet, SC)
- …as necessary. For procedures, the employee may pre-register the patient, verifying insurance , etc. In addition, the employee may assist with making referrals. The ... no duplication or wrong patient registrations occur. Reviews demographic and insurance information for completeness, and follows through with correcting any… more
- Commonwealth Care Alliance (Springfield, MA)
- …record strongly preferred (EPIC and eCW a plus) + Experience with Medicaid or Medicare programming and insurance products (ie ACO, MCO, PACE or SCO) **Required ... diagnosis as appropriate for psychiatric conditions, identify treatment plans, conduct follow up visits for inpatient psychiatric hospitalizations, perform crisis … more
- University of Washington (Seattle, WA)
- …Practice Plan Services (FPPS)** has an outstanding opportunity for an ** Insurance Follow -Up Specialist ** to join our ** Medicare ** team **.** **WORK ... 100% FTE + Mondays - Fridays + 100% Remote **POSITION HIGHLIGHTS** The ** Insurance Follow -Up Specialist , Medicare ** is responsible for the optimal… more
- Southeast Health (Dothan, AL)
- … follow up on claims which did not process correctly; + Provides follow up with insurance companies or individuals to obtain accurate reimbursement; + ... Performs daily activities involved in the reimbursement process, ie claims filing/ follow -up, entry of payments/adjustments, and follow -up on non-payment or… more
- Ventura County (Ventura, CA)
- …appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. IDEAL CANDIDATE ... leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare , and Commercial Insurance , they ensure accuracy,...systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing Specialist … more
- Ventura County (Ventura, CA)
- …appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. The ideal ... in medical billing or a related field. + Experience in Managed Care/Medicaid/ Medicare and/or Commercial Insurance billing. + Experience with multiple Electronic… more
- Queen's Health System (Honolulu, HI)
- …process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment ... in an acute care facility, demonstrating good working knowledge of Medicare , Medicaid, Third Party payor requirements. SNF/ICF, ICD-9/ICD-10 and DRG. *… more
- Fresenius Medical Center (Kennesaw, GA)
- …knowledge of the eligibility rules for the American Kidney Fund's Health Insurance Premium Program (HIPP), the Indigent Waiver (IW), Employer Group Health Plans ... (EGHP), Medicare , Medicaid, Medigaps, Commercial Exchange, Commercial Individual, ...requirements. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Under general supervision, follow established company policies and procedures and apply acquired… more
- New York State Civil Service (Rochester, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade 35 ... Code 14620 Duties Description Primary Duties and Responsibilities:As a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- HCA Healthcare (Overland Park, KS)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...vary by location._** We are seeking a Medical Collections Specialist for our team to ensure that we continue… more
