- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II (RN or LCSW) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the...position reports to the Supervisor of ECM and receives clinical supervision as needed from the Medical … more
- Apex Health Solutions (Houston, TX)
- …claims operating system. Researches and resolves inquiries and issues related to medical coding, benefits, and clinical policies submitted by other departments. ... Job Title: Benefits & Policy Configuration Specialist Supervisor: Manager, Provider & System Configuration Required...tracking log of outstanding inquiries and issues related to medical coding, benefits, and clinical policies and… more
- Trinity Health (Albany, NY)
- …to identify events presenting claim/ litigation potential (PCE). + Collaborates with Clinical Risk Specialist in investigation of pt. and/or visitor events ... literature as requested). + Analyzes and processes complex or technically difficult medical malpractice claims through examination of clinical records and legal… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training...such as at the LA Care Community Resource Centers, medical clinics, and member homes. Duties Continued Meets and… more
- Abbott (Livermore, CA)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... more than 160 countries. **Job Title ** **Managed Care Specialist , HF** **Working at Abbott** At Abbott, you can...can grow the career you dream of. + Free medical coverage for employees* via the Health Investment Plan… more
- TEKsystems (Waco, TX)
- …specialists to support a growing healthcare company in the Waco area! As a specialist on our team you will be verifying insurance information, following up, doing ... and payors to support our clients. If you have experience working within medical insurance roles handling claims, payer portals, appeals, AR follow up, denials or… more
- TEKsystems (Waco, TX)
- …outstanding balances * Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or ... medical payment programs, etc. both in-person and by telephone...increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New… more
- Trinity Health (Boise, ID)
- …on exceptional service and the highest quality of care. As a Patient Access Specialist , you will play a significant part in creating a great experience for patients ... Greets patients and family members, obtains, and verifies demographic, clinical , financial, and insurance information during the (pre)-registration process, accepts… more
- MetLife (Oriskany, NY)
- …designations CCM (certified case management) and/or CDMS (certified disability management specialist ). . Possess strong knowledge of medical conditions, ... Clinical Support Consultant - RN Consultant **General Information**...project managers with the freedom to create innovative and solutions to address core business challenges with MetLife. This… more
- Travelers Insurance Company (Richmond, VA)
- …or future goals. + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab ... loving what you do and where you do it. **Job Category** Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for this… more