- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... Care Alliance's (CCA) diverse provider community - including physician, hospital , behavioral health, community-based, LTSS, and HCBS providers. This individual… more
- Healthfirst (NY)
- **Responsibilities:** + **_Managing day to day operational issues and concerns from hospital partners_** including but not limited to roster maintenance and claim ... health plan business objectives + **_Serving as an advocate for Hospital Providers within Healthfirst_** + **_Work closely with numerous departmental partners_**… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I/Government (Full-time) ... reimbursement for all claims from government and third-party payers. The Claims Specialist is responsible for preparing and submitting timely and accurate… more
- Northwell Health (Westchester, NY)
- …Responsibility + Responds to various inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to ... credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility. + Responds to physician requests, provides updates and… more
- The County of Los Angeles (Los Angeles, CA)
- …documentation; verifies credentials, education, employment history, licensure, professional references, hospital affiliations and liability claims history by ... CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 -… more
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4246019) Apply STATIONARY ENGINEER CONTROLS ... - OR - is assigned to a geographic area of a major multi- hospital medical center which requires maintenance and operation of steam reducing stations, ventilation… more
- Billings Clinic (Billings, MT)
- …of a multi-specialty group practice and a 304-bed hospital .Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, ... to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Pre-Certification Specialist (Full-time) PRE-ACCESS (ROCKY MOUNTAIN PROFESSIONAL BUILDING) req10481 Shift:… more
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3721998) Apply STATIONARY ENGINEER CONTROLS ... is assigned to a geographic area of a major multi- hospital medical center which requires maintenance and operation of...whether your conviction history has a direct or adverse relationship with the specific duties of the job, and… more
- Air National Guard Units (Fairchild AFB, WA)
- …Guard Title 32 Excepted Service Unit Technician position: HEALTH SYSTEMS SPECIALIST Location: 141st Medical Group Fairchild AFB, Washington 99011-9413 Air National ... Jobs profile name is accurate* Responsibilities A GS-0671-9, HEALTH SYSTEMS SPECIALIST : Manages Health Services activities, including plans and operations, human… more
- Trinity Health (Hartford, CT)
- …**Shift:** Day Shift **Description:** Come join our Worker's Compensation team at Saint Francis Hospital , a member of Trinity Health Of New England! WORK IS ON SITE- ... LOCAL RESIDENCY REQUIRED **Position Purpose** Develops a networking relationship with workers' compensation carriers, managed care organizations and employers for… more
- OhioHealth (Dublin, OH)
- …verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good ... Industrial appeal paperwork and retroactive C-9s. 6. Works Industrial claims in the electronic medical record system, to include...Shift:** Day **Scheduled Weekly Hours :** 40 **Department** PCP Hospital Dr Join us! if your passion is to… more
- OhioHealth (Columbus, OH)
- …the appropriate party, works insurance edits/errors, follows-up on adjudication of claims , works payer rejections and denials. This position primarily communicates ... but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status… more
- Billings Clinic (Billings, MT)
- …of a multi-specialty group practice and a 304-bed hospital .Learn more (https://www.billingsclinic.com/about-us/) about Billings Clinic (our organization, history, ... - $21.44 per hour The Self-Pay Collections Call Center Specialist is responsible for one of the lasting impressions...to a variety of questions from patients for both hospital and clinic services, providing assistance in resolving concerns… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care ... DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate -PREFERRED + Certified Health… more
- The County of Los Angeles (Los Angeles, CA)
- …and equipment in a Central Sterile Processing Service Unit within a hospital setting and/or surgical center. PHYSICAL CLASS III - Moderate: Includes standing ... a Certified Registered Central Services Technician (CRCST), Certified Instrument Specialist (CIS), and/or Certification in Healthcare Leadership (CHL).** **Applicant… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Participates in continuing education/staff development programs and other hospital , departmental, and professional licensing requirements. + Participates in ... working with children with special needs. + Pediatric Certified Specialist (PCS) of the American Board of Physical Therapy...whether your conviction history has a direct or adverse relationship with the specific duties of the job, and… more
- The County of Los Angeles (Los Angeles, CA)
- …disaster/emergency services, when required. Regional Disaster Medical and Health Specialist Program (RDMHS) Assists in the development, implementation, and ... objectives. Examples include but are not limited to: + Hospital Preparedness Program + Medical and Health Operational Area...whether your conviction history has a direct or adverse relationship with the specific duties of the job, and… more
- Trinity Health (Maywood, IL)
- …3-5 years preferred. + Prior experience as a Clinical Risk Manager or Patient Safety Specialist in a hospital setting is preferred. + Other: CPHRM certificate is ... + Act as a liaison to administration, management and hospital /ambulatory care staff to provide guidance on patient safety...others that have a need to know, such as Claims Management, Center for Clinical Excellence, General Counsel, and… more
- Hartford HealthCare (Farmington, CT)
- …*_Position Summary:_* The Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy, compliance, compliance and efficiency ... external vendors associated with the insurance portion of the Hospital Billing and Professional Billing Revenue Cycle and will...for internal or external audits related to billing and claims . Research payer policies from in and out of… more
