- Optum (Draper, UT)
- …will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a ... to start Caring. Connecting. Growing together. The Certified Peer Support Specialist (CPSS) provides recovery-oriented support services to individuals with mental… more
- Patient Financial Concepts, Inc (Thomaston, GA)
- …entities regarding self-pay referrals. Maintain accurate financial records, including statistical data . Create detailed notes in the hospital or host system ... reflecting account actions. Initiate Presumptive Eligibility (PE) for Medicaid eligibility. Complete tasks within established timeframes and attend departmental… more
- Trinity Health (Chelsea, MI)
- … Specialist Professional (CRCSP) through the American Association of Healthcare Administrative Management (AAHAM) and/or Certified Healthcare Access Associate ... the deployment of key activities. Interviews patients to collect data , initiates electronic medical records, validates and enters ...(CHAA) through the National Association of Healthcare Access Management (NAHAM) is preferred. REQUIRED SKILLS AND… more
- DFR (Clinton, IN)
- …and/or receiving public assistance. Programs include TANF (cash assistance), SNAP, and Medicaid . The Eligibility Specialist staff are responsible for assisting ... industry with the FSSA/Division of Family Resources (DFR) as an Eligibility Specialist . This position is responsible for assisting in the processing of applications… more
- Savista (Phoenix, AZ)
- …Savista, we enable our clients to navigate the biggest challenges in healthcare : quality clinical care with positive patient experiences and optimal financial ... results. We partner with healthcare organizations to problem solve and deliver revenue cycle...Authenticity, Respect and Excellence (CARE). Job Purpose The Eligibility Specialist I is a critical advocate for patients, helping… more
- Randstad (Roswell, GA)
- Are you a Healthcare professional looking for a patient access representative role? We are looking for experienced patient access representatives that will speak to ... and collecting patient accounts Conducts intensive screening of all Medicare, Medicaid , and managed care patients for pre-certification requirements and provider… more
- MIMEDX (Houston, TX)
- …addressing the unmet medical needs for patients across multiple areas of healthcare . Possessing a strong portfolio of industry leading advanced wound care & ... of patients we serve globally. We are excited to add a Field Reimbursement Specialist to our reimbursement team! The position will pay between $49,500 - 80,000k… more
- Mosaic Pharmacy Service (Sterling, VA)
- …team for an innovative new career opportunity. Job Profile The Pharmacy Billing Specialist , known internally as a Payment Resolution Specialist , will be ... patients' and pharmacy billing needs are met satisfactorily. Our Payment Resolution Specialist will help coordinate patient payments and issue resolution between the… more
- Optum (San Juan, PR)
- …Coverage, Federal and State Statues, Rules and Regulations Knowledge of Medicaid /Medicare Reimbursement methodologies Working knowledge of the healthcare ... will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a… more
- Community Medical Services (Scottsdale, AZ)
- …High school diploma or equivalent. 3+ years of transaction processing, data reconciliation, membership records, or related managed care/ healthcare experience. ... of in person training Community Medical Services (CMS) is hiring an Enrollment Specialist . This role will complete verification of client eligibility on various, … more
- Garden Place Healthcare (Attleboro, MA)
- …and timely completion of resident assessments in accordance with Medicare, Medicaid , OBRA and other payer program requirements. Ensures assessments accurately ... with other members of the interdisciplinary team. Follows all Next Step Healthcare policies and procedures. Note: The following duties are illustrative and not… more
- CareOregon (Portland, OR)
- …Exempt Management Level Director Direct Reports Sr Planning & Operations Specialist , Network Support Manager Manager Title Vice President, CareOregon Metro ... that further quality, access, equity and/or cost and utilization goals for Medicaid and Medicare LOB. Develops internal systems and measures to ensure effective,… more
- Pair Team (Salinas, CA)
- … data -driven technology platform, Arc, for care coordination. Through Medicaid MCOs, we provide healthcare for hard-to-reach, high-need individuals, ... to high-quality care. Pair Team cares for the highest-need Medicaid recipients through a community-led model. We build local...News Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most TechCrunch:… more
- Healogics (Knoxville, TN)
- …state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities: Performs hyperbaric ... safety and the safe and effective use of the equipment Making appropriate data entries for daily hyperbaric treatments and wound care clinic visits, and keeping… more
- Emanate Health (Covina, CA)
- …requirements including, but not limited to, the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the physicians. ... care clinic setting. Preferred 3+ years of coding experience in a healthcare clinic setting, specifically in Family Care and/or Pediatric clinic visits, injections,… more
- GRIFOLS, SA (Green Bay, WI)
- Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to...technology for call planning/targeting, field communications, field reporting, sales data analysis, reporting and generating insights. Territory to include… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost...skills, may complete NaviCare Program Assessment Tools and Minimum Data Set Home Care (MDS HC) Form when a… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Healthcare Data Specialist (Level 1 or 2) - Albany, NY** **Division of ... **50% Onsite 50% Remote** **Duties:** + Review reports related to Medicaid eligibility. + Utilize electronic databases to verify information. + Communicate… more
- Genesis Healthcare (NM)
- …complexities of Medicaid eligibility? Then join us as a Regional Floating Medicaid Application Specialist . In an assigned geography, you will improve the ... Overview At Genesis Healthcare , we are dedicated to improving the lives...clinical eligibility requirements, asset limits, and state-specific long-term care Medicaid rules. *Monitor key performance indicators, analyze data… more
- Commonwealth Care Alliance (Boston, MA)
- …to have):** + Masters Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+ years progressive ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective… more
