- CommuniCare Health Services Corporate (Richmond, VA)
- Regional Medicaid Specialist , Virginia Communicare Health Services is currently recruiting a dynamic individual with prior Business Office or Admissions experience ... Long Term Care for the position of Regional Medicaid Specialist for our facilities located in Virginia. JOB SUMMARY...+ Escalate difficult cases to management timely + File appeals with the appropriate agency when necessary + Build… more
- Elevance Health (Richmond, VA)
- **Pharmacy Quality Improvement Specialist ** _This position will work a hybrid model (remote and office), 1-2 times per week. The Ideal candidate will live within 50 ... to deliver member-centered, lasting pharmacy care. The Pharmacy Quality Improvement Specialist is responsible for generating process improvements that bring about… more
- Sutherland Global Services (Richmond, VA)
- …phone, email, or online + Providing ongoing appropriate collection activity on appeals + Requesting additional information from Patients, Medical Records, and others ... as needed + Communicating with insurance plans and researching health plans for benefits and types of coverage + Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed. + Handling… more
- Army National Guard Units (Richmond, VA)
- …specialized qualification requirements, knowledge, skills and abilities statements. Assists the specialist in the recruitment and evaluation of applicants on the ... post audits and maintenance of merit promotion files. Assists classification specialist by performing job audits and making classification determinations on a… more