- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- PruittHealth (Charlotte Hall, MD)
- **JOB PURPOSE:** The Business Office Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing ... on Medicaid and compliance. This position is responsible for assisting...in the management of resident private pay accounts, including billing , collections, and financial reporting. 5. Ensure compliance with… more
- Arc Allegany-Steuben (Hornell, NY)
- …program. Job Functions Regulatory and Corporate Compliance + Ensure all billing practices adhere to OPWDD regulations, Medicaid guidelines, and internal ... wait to be paid! Job Summary The Self Direction Billing Specialist is responsible for ensuring timely,...of OPWDD Self Direction policies, eVero system updates, and Medicaid billing requirements. Financial Management + Review,… more
- Helio Health Inc. (Syracuse, NY)
- Overview To support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up on accounts receivable ... accomplish medical billing for Helio Health. The Billing Specialist will work Full-Timeto support our...assigned duties. + Prepares weekly and monthly reports of Medicaid billing for the Director of … more
- Scripps Health (San Diego, CA)
- …Account Specialist - PFS Billing Services* **Location:** *Central San Diego County-SAN DIEGO-SCRIPPS CORPORATE OFFICES* **Requisition ID:** *252005765* ... one of the most respected healthcare organizations nationwide. As a Patient Account Specialist , you will be supporting the Billing Services department at our… more
- Guidehouse (St. Paul, MN)
- …various types of authoritative information. + Maintains current knowledge of Medicare, Medicaid , and other third-party payer billing compliance guidelines and ... provider/clinical documentation. + Knowledge, understanding and proper application of Medicare, Medicaid , and third-party payer UB-04 billing and reporting… more
- NHS Management, LLC (Vestavia Hills, AL)
- …and directed by Administrator, Financial Specialist , or facility corporate management. Qualifications + Healthcare billing and collection experience ... office related tasks, including but not limited to: + Medicaid , Medicare and/or secondary billing + Assist...directed by Administrator, Financial Specialist , or facility corporate management. Qualifications + Healthcare billing and… more
- Gentiva (Mooresville, NC)
- …Quality Care.** We are seeking a detail-oriented and highly organized Revenue Cycle Specialist to support our billing operations through timely processing of ... part in maintaining accurate medical records, identifying payer trends, and ensuring billing compliance across all areas of the revenue cycle. The ideal candidate… more
- Henry Ford Health System (Troy, MI)
- …resolve issues at a high level. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement, and other third- party billing rules/coverage, preferred. + ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with Revenue Cycle… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category Pharmaceutical ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
- CCSI INC (Norwich, NY)
- Compliance and Quality Improvement Specialist - On Site Norwich, NY, NY (http://maps.google.com/maps?q=5+Court+St+#42+Norwich,+NY+NY+USA+13815) * Chenango County ... Hygiene Services Job Type Full-time Description Compliance and Quality Improvement Specialist Chenango County Community Mental Hygiene Services Norwich, NY - On… more
- HCA Healthcare (Tampa, FL)
- …you want to join an organization that invests in you as a Collections Legal Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... a difference. We are looking for a dedicated Legal Specialist like you to be a part of our...SSC Senior Counsel) for SSC staff + Manage/assign all billing records subpoenas for deposition and trial served at… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …in the Billing /Entitlements shared drive. + Complete NYC & NYS Medicaid recertification packets for all service recipients within congregate care level II and ... Eligibility Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now… more
- Henry Ford Health System (Jackson, MI)
- …maintaining up-to-date payor information, and providing patient support for Medicaid redetermination and enrollment. PRINCIPLE DUTIES AND RESPONSIBILITIES: * Ensures ... purposes of their quality rewards program. o Maintains accurate record of specialist referral information, provider panel status by product line, and Network's… more
- Mount Sinai Health System (New York, NY)
- …with Epic. + Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid , etc.), managed care contracts and ... **Job Description** **Clinical Revenue Auditor-CDM Patient Financial Services- Corporate -Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount Sinai… more
- Truman Medical Centers (Kansas City, MO)
- …**Job Location** University Health 4 (UH4) Kansas City, Missouri **Department** Corporate Professional Billing **Position Type** Full time **Work Schedule** ... Per Week** 40 **Job Description** The Oral Surgery Utilization Specialist is responsible for correctly and efficiently facilitates the...front desk personnel if needed. Works to ensure that Medicaid information is accurate and, in cases of other… more
- Bluestone Physician Services (Stillwater, MN)
- …by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida. Our success is only ... : Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The **Physician Practice Compliance Specialist ** is responsible for assuring on-going compliance by actively participating in ... physician practice regulatory environment in consultation with the Director of Corporate Compliance. This position proactively assesses changes in the regulatory… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more ... you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio...pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their… more
- Covenant Health Inc. (Knoxville, TN)
- …prioritizing and managing tasks in the Knoxville Business Office Services (KBOS), Billing Department regarding Out of State Medicaid Payer Enrollment, Hospital ... Overview Credentialing Specialist , Business Office Full Time, 80 Hours Per...new Facility and Physician Providers with Out of State Medicaid Payers: sends out and processes initial hospital applications;… more
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