- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Regulatory Specialist , SLA, is responsible for performing different tasks to ... the NCQA activities calendar + Partner, collaborate, develop, and support Regulatory Specialists within the Clinical Operations-Quality, Audit, and Risk department… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1 (NY HELPS) - multiple vacancies Occupational ... contingent-permanent competitive service, or 55 b/c service as a Medicaid Integrity Specialist 1; OR current New...works with other federal and state agencies that have regulatory oversight or law enforcement powers. Each year, the… more
- Molina Healthcare (Long Beach, CA)
- …**Job Summary** Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid , Medicare, ... contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission. + Assesses information received from government… more
- Abbott (Pleasanton, CA)
- …excellent interpersonal and communication skills. + Maintains ongoing account management post contract execution of contracts with assigned payer accounts. + ... get on with their lives. The **Managed Care Sales Specialist ** is responsible for key account Managed Care Sales....Acelis Connected Health with current status of health plan contracts . + Assists with contract review, interpretation,… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Program Research Specialist 2 (HSA) - 15381 Occupational Category Other Professional Careers Salary Grade 23 Bargaining ... of Health employee with permanent or contingent-permanent status as a Program Research Specialist 2 (Health Systems Analyst), G-23 OR current NYS employee with one… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Program Research Specialist 2 (HSA) - 15383 Occupational Category Other Professional Careers Salary Grade 23 Bargaining ... of Health employee with permanent or contingent-permanent status as a Program Research Specialist 2 (Health Systems Analyst), G-23 OR current NYS employee with one… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …and reimbursement + Knowledge of medical terminology + Insurance verification + Health plan contracts + Exposure to Medicaid and Medicare plans and programs + ... a mandatory COVID-19 and flu vaccine organization Credentialing & Provider Enrollment Specialist - Posting #26191 Hourly Rate: $25.00 - $29.00 Annual Salary: $52,000… more
- Catholic Health Initiatives (Lexington, KY)
- …**Job Summary / Purpose** The Patient Assistance Coordinator/Pharmacy Operations Specialist is responsible for CHI Saint Joseph Health System's Medication ... Assistance Programs. The Patient Assistance Coordinator/Pharmacy Operations Specialist applies knowledge of pharmaceuticals, insurance plans, social security… more
- New York State Civil Service (Albany, NY)
- …on data product needs and how product management is influenced by policy, and regulatory processes that span the Medicaid enterprise. The successful candidate in ... NY HELP No Agency Health, Department of Title Program Research Specialist 1 (HCF) - 63148 Occupational Category Other Professional Careers Salary Grade 18 Bargaining… more
- Robert Half Accountemps (Fresno, CA)
- …industry. This role is based in Fresno, California, and offers a short-term contract employment opportunity. The Medical Billing Specialist will be responsible ... Description We are looking for a Medical Billing Specialist to join our team in the Healthcare/NHS...Coverage Determination) LCD Edits * Expertly handle private pay, Medicare/ Medicaid , and Medi-Cal insurance billing requirements * Interpret EOBs… more
- Rush University Medical Center (Chicago, IL)
- …Schedule:** 8 Hr (7:00:00 AM - 3:30:00 PM) **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
- Rush University Medical Center (Chicago, IL)
- …**Work Schedule:** 8 Hr (9:30:00 AM - 6:00:00 PM) **Summary:** The Registration Specialist I is responsible for reviewing patient registration for all types of ... information is complete and current with each patient visit. The Registration Specialist I will assist patients with understanding their insurance options and… more
- Devereux Advanced Behavioral Health (Villanova, PA)
- …consider applying to Devereux Advanced Behavioral Health! **Being an Accounts Receivable Specialist has its Advantages** As an Accounts Receivable Specialist at ... staff include Clinical, Finance, Information Technology, Human Resources, Legal, Contracts , External Affairs & Development and Marketing/Communications. The position… more
- Northern Light Health (South Portland, ME)
- …Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement ... submission to all payers and submission of claims in accordance with regulatory and contractual obligations including all activities related to benefit verification… more
- Robert Half Accountemps (Holyoke, MA)
- Description We are offering a contract employment opportunity for a Medical Billing Specialist . This role is for a large healthcare client of ours. The role will ... of all transactions * Ensure all medical billing procedures are compliant with regulatory requirements * Resolve any issues or discrepancies in billing processes *… more
- Trinity Health (Howell, MI)
- …and assignment of benefits required. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient ... and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the safety of patient information… more
- Trinity Health (Howell, MI)
- …and assignment of benefits required. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient ... and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the safety of patient information… more
- Trinity Health (Farmington Hills, MI)
- …improvements and system enhancements in support of process goals regulatory mandates. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates the ... of system enhancements while monitoring congruency with process goals and regulatory mandates. Maintains a strong working relationship with the associated Ministry… more
- Robert Half Accountemps (Moline, IL)
- Description Robert Half is hiring a full-time Insurance Verification Specialist to join our client! This candidate will work closely with the Revenue Cycle Manager ... department policies and procedures as required to meet payer and regulatory requirements Requirements Required Qualifications: Experience with Microsoft Word, Excel… more
- Trinity Health (Farmington Hills, MI)
- …of system enhancements while monitoring congruency with process goals and regulatory mandates. Maintains a strong working relationship with the associated Ministry ... draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment Resolution Specialists… more