- APN Consulting, Inc (TX)
- …and or grievances information concisely and accurately, in accordance with regulatory requirements.* Research claims processing guidelines, provider contracts , ... Title: Healthcare - Appeals Specialist IREMOTE6 monthsJob Description:* Will the position be...and related outside agencies to ensure that internal and/or regulatory timelines are met.* Research claims appeals and grievances… more
- CRSI (Lima, OH)
- …budget amounts. Complete documentation/expense reports per Agency requirements and other regulatory standards (ie OSHA, Medicaid , Life Safety, Licensure, Agency ... state and local requirements including but not limited to Medicaid , Dept. of Health (Life Safety), MR/DD Licensure, local...license. This position is required to sign a union contract as it is part of our union at… more
- 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 (Financial Analysis)/Trainee 1 (FA)/Trainee 2 (FA) (NY ... please visit: https://omig.ny.gov/about-us/about-omigReporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) duties… more
- Molina Healthcare (Las Vegas, NV)
- …to exceed requirements and performance expectations in the execution of the company's Medicaid contract . It will also be preparing, tracking, and delivering ... of Nevada** is hiring for a **Managed Care, Gov Contracts Sr. Specialist ** . This role can...contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission. + Assesses information received… more
- Molina Healthcare (Albuquerque, NM)
- …**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 (Livermore, 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 (Schenectady, NY)
- …Developmental Disabilities, Office for Title Mental Hygiene Program Evaluation Specialist 3 Occupational Category Health Care, Human/Social Services Salary Grade ... Minimum Qualifications MINIMUM QUALIFICATIONS:* Currently in Mental Hygiene Program Evaluation Specialist 3, Grade 23 titleor* Eligible for 70.1 or 52.6 transfer… more
- New York State Civil Service (Albany, NY)
- …that are submitted through the Fair Hearing process for denial of any Medicaid service. Duties Description The Health Systems Specialist 2 (HSS2) licensed ... HELP Yes Agency Health, Department of Title Health Systems Specialist 2 (NY HELPS) - 23628 Occupational Category Health...to providers. They will ensure that all eligibility and regulatory requirements of the Medicaid program are… more
- New York State Civil Service (Rochester, NY)
- NY HELP No Agency Health, Department of Title Health Systems Specialist 3 - 77014 Occupational Category Other Professional Careers Salary Grade 23 Bargaining Unit ... or contingent permanent competitive service as a Health Systems Specialist 3, G-23 or current NYS employee with one...Candidates: Current NYS DOH Employee or Office of the Medicaid Inspector General with one year of permanent or… 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
- Molina Healthcare (Milwaukee, WI)
- …with regulatory requirements. + Research claims processing guidelines, provider contracts , fee schedules and system configurations to determine root cause of ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… 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
- 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
- Trinity Health (Ann Arbor, MI)
- …Day Shift **Description:** An Opportunity to Join our Remarkable Care Patient Access Specialist awaits YOU!! Trinity Health System is one of the nation's top ... and assignment of benefits required. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient… 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
- Trinity Health (Chelsea, 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
