- SCAN (Long Beach, CA)
- …possible updates due to audit results and/or change in regulations Work with the Medicare Compliance team when new regulations are released to ensure appropriate ... federal). In this role, the Regulatory Audits & Monitoring Specialist will assist in the coordination of all components...years' experience in managed health care required. 3+ years compliance experience Demonstrated knowledge of the Medicare … more
- Ensemble Health Partners, Inc. (Fairborn, OH)
- …Center in Fairborn, OH We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients ... while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as… more
- City of Coronado, CA (Coronado, CA)
- …The Organization The City of Coronado is accepting applications for Payroll Specialist The Department of Administrative Services is responsible for the divisions of ... the administrators of the City's financial system. The Position The Payroll Specialist is a stand-alone journey-level classification that is assigned to the… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Grievance & Appeals Nurse Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed to ... current job opportunities below. Job Title: Grievance & Appeals Nurse Specialist Department(s): Grievance and Appeals Resolution Services (GARS) Reports to: Manager… more
- Savista (Tempe, AZ)
- …of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose The Eligibility Specialist II is a critical advocate for patients, helping uninsured and ... through application processes for government and charity-funded programs and ensuring compliance with healthcare regulations. Depending on client needs, this role… more
- Legacy Community Health (Houston, TX)
- …today in less than 3 minutes using your phone, tablet, or computer! Eligibility Specialist Bilingual - LGC (Mon-Fri 8AM - 5PM) Position Overview Join the innovative ... team at Legacy Community Health as a bilingual Eligibility Specialist , where your passion for community healthcare will make a tangible impact in the Houston area.… more
- AdaptHealth LLC (High Point, NC)
- …lives, please click to apply, we would love to hear from you. Intake Specialist The Intake Specialist has a broad range of responsibilities including accurate ... sources, and appropriately utilizing technology to notate patient information/communication. Intake Specialist 's schedules can vary based on the need of the branch.… more
- Homeward (Chicago, IL)
- …that have historically limited access and quality. Homeward supports Medicare -eligible beneficiaries by partnering with health plans, providers, and communities ... The Opportunity Homeward Health's creative team is seeking a talented Senior Content Specialist and copywriter to truly own and lead our messaging primarily for our… more
- The Wright Center Medical Group (Scranton, PA)
- Job Type Full-time Description POSITION SUMMARY The Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing ... Specialist , a key position in the Revenue Cycle, facilitates...paper Follow billing guidelines and legal requirements to ensure compliance with federal and state regulations Respond to account… more
- Polaris Pharmacy Services (Fort Lauderdale, FL)
- …for career advancement to all our team members. OVERVIEW As a Collections Specialist , you will be responsible for monitoring the receivables on patient accounts in ... resolving any resident questions or concerns. In addition, the Collections Specialist will: Collect information and verify account-specific billing, insurance, and… more
- Kestra Medical Technologies, Inc (Detroit, MI)
- …care teams harmoniously monitor, manage, and protect life. The Clinical Account Specialist (CAS) will be responsible for providing high quality touchpoints in key ... the care team of process and training for patient compliance and experience. *Link the SWO renewal process back...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- OhioHealth (Dublin, OH)
- …need to check in for procedures and how to come prepared. The Billing Specialist is responsible for providing complete, accurate, and timely billing. They may also ... Job Description: Knowledge of medical terminology is preferred. Knowledge of Medicare , Medicaid, and Insurance billing is preferred. Knowledge of Microsoft Office… more
- Bluebird Health (Meridian, ID)
- …in accordance with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations. Maintains comprehensive ... payers. Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for… more
- MJHS (New York, NY)
- …support, lead management and outgoing member calls. The Senior Sales Operations Specialist manages and runs Elderplan Compliance Data Exclusion Reports; provides ... affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of… more
- BioTAB Healthcare (Houston, TX)
- …delivering expert care with a personal touch service. The Vascular Sales Specialist focuses on building and maintaining relationships with clinicians for pneumatic ... with physicians, clinicians, and caregivers to monitor progress and ensure compliance with treatment protocols. Stay informed of industry trends, market dynamics,… more
- Conifer Health Solutions (Sherwood, AR)
- …to enable individuals with disabilities to perform the essential functions. CDI Specialist must display teamwork and commitment while performing daily duties Must ... Travel may be required to meet the needs of the facilities Advanced knowledge of Medicare Part A and familiar with Medicare Part B Intermediate knowledge of… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Program Specialist - Temporary (Cultural & Linguistic Services) Company Overview: Our client is a leading healthcare company in Orange County, ... and inclusion. We are seeking a highly motivated Program Specialist for a Temporary position in our Cultural &...department. This position will support our efforts in ensuring compliance with state and federal regulations related to cultural… more
- SSM Health (Madison, WI)
- …Obtains written orders and prior authorization for appropriate equipment/supplies. Ensures compliance with Medicare , Medicaid and Accreditation Standards. Works ... in a constant state of alertness and safe manner. Performs other duties as assigned. EDUCATION High School diploma/GED or 10 years of work experience EXPERIENCE Two years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects… more
- Geisinger Health (Danville, PA)
- …coverage analysis for clinical studies, including billing determination review and Medicare coverage analyses to ensure regulatory compliance . Creates clinical ... Type: Regular Exemption Status: Yes Job Summary: The Research Contracts Specialist position supports principal investigators, research teams, and other internal… more
- Solomon Page (San Diego, CA)
- …electronic and paper claim processing Knowledge of insurance guidelines, including HMO/PPO, Medicare , and state Medicaid Follow up on unpaid claims within standard ... billing cycle timeframe Check each insurance payment for accuracy and compliance with contract discount Call insurance companies regarding any discrepancy in… more
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