- Louisiana Department of State Civil Service (Opelousas, LA)
- Medicaid LTC Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5100280) Apply Medicaid LTC Specialist Salary ... services and ensuring quality care for those who need it most? As a Medicaid LTC Specialist , you'll play a vital role in analyzing provider data, resolving… more
- National Health Care Associates (East Hartford, CT)
- …and appreciated. We invite you to join our team! **-** **Business Office /AR2/ Medicaid Specialist ** **40 hour position** The position is responsible to support ... Recommended Minimum Position Qualifications + 1 year experience in LTC Medicaid + 1-3 years of billing...our residents **-** **What You'll Bring:** **Qualifications of a Medicaid Specialist include:** + 1 year processing… more
- PruittHealth (Norcross, GA)
- …South Carolina Medicaid billing and collections. * Previous experience with LTC -Long Term Care a plus. * Excellent communication and organizational skills. * ... **JOB PURPOSE:** Manage the Medicaid Billing and AR collections processes for a...Healthcare Centers through American Health Tech's Long Term Care ( LTC ) software program. Successful individuals are able to manage… more
- National Health Care Associates (Naugatuck, CT)
- …the Beacon Brook Center for Health & Rehabilitation! **-** **Business Office / Medicaid Specialist ** **Full-Time** The position is responsible to support the ... Resident Trust Recommended Minimum Position Qualifications + 1 year experience in LTC Medicaid + The ability to handle multiple priorities and possess strong… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Billing Specialist Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Category Admin - Clerical ... Description BILLING SPECIALIST WHO WE ARE Polaris Pharmacy Services is an...census balancing and payor verification * Verify insurance and Medicaid coverage * Handle Dual Coverage, Medicare Part D,… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Billing Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $21.00 - $23.00 Hourly ... to all our team members. JOB SUMMARY: The Billing Specialist is responsible for Nursing Homes, Assisted Living Facilities,...census balancing and payor verification + Verify insurance and Medicaid coverage + Knowledge of Dual Coverage, MCR D,… more
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Billing Specialist position reports directly to the Director of Finance and will work within a team environment to complete the submissions, ... follow up rejections and posting payments for Medicaid , Medicare and other third party payers. Qualifications &...High school diploma or the equivalent + Knowledge of LTC /Skilled Nursing third party billing preferred + Must have… more
- Gentiva (St. Louis, MO)
- …ensures compassionate care reaches every patient, every day. As an Executive Director Specialist - RN, you'll serve as the operational and clinical leader in our ... all federal, state, and organizational standards. **What You'll Do as Executive Director Specialist - RN:** + Serve as the Administrator on record at assigned… more
- US Tech Solutions (Monroeville, PA)
- …qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid . Individual must work with LTC facility staff, Omnicare pharmacy ... operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. + This position requires work within several different operating systems and web based programs to retrieve document images, collect… more
- MyFlorida (Fort Pierce, FL)
- …(Open Competitive) Your Specific Responsibilities: The Linkage to Care Coordinator ( LTC )/Disease intervention Specialist (DIS) representative is a regional ... clients. As well as acting as a Disease Intervention Specialist to provide partner services to infected individuals. The...care within 30 days and that linkage to care ( LTC ) field records in the HIV/AIDS Linkage Module and… more
- Healthfirst (NY)
- …standards. + Creates and/or follow ups for up to 90 days on Long-Term Care ( LTC ) Leads and Opportunities entered in Salesforce. + Create and/or follow ups for up to ... or complete outbound calls according to approved scripts. + Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes. + Searches in Marx (CMS) for… more
- Signature Healthcare (Glasgow, KY)
- …choice in the healthcare industry. Overview The ideal Clinical Reimbursement Specialist Candidate is very detailed orientated, organized, self-motivated, a love for ... Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare/ Medicaid guidelines for all...in a long-term care setting. + MDS Experience in LTC in the past two (2) years + Willing… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry ... Authorization Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy ... to Polaris and their customers. The Lead Prior Authorization Specialist must be responsive and courteous when addressing our...D plans, third party insurance companies, and all state Medicaid plans to ensure maximum payer reimbursement adhering to… more
- National Health Care Associates (Glens Falls, NY)
- …days a week on site ** + We have THE MOST affordable health insurance of any LTC facility in the Capitol Region + !! We are the ONLY organization that pays weekly ... Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state… more
- CVS Health (Oklahoma City, OK)
- …determinations and any financial information associated with such, potential for LTC transition (if applicable) and importance of timely PCP follow-up following ... to identify post-discharge needs, including but not limited to: medications, specialist appointments, home health, DME, caregiver support, social determinants of… more