- Hartford HealthCare (Farmington, CT)
- …Up/Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of monitoring ... in the process of interviewing applicants and provides feedback to hiring manager . Assists in the onboarding and training of new AR Collections Specialists.**… more
- CVS Health (Springfield, IL)
- …As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
- Gentiva (Conyers, GA)
- …Compassion. Inspire Excellence. Elevate Hospice Care.** We are seeking a Patient Care Manager Specialist to join our team, reporting to the Regional Director ... supporting compliance with company policies and regulatory requirements. **As a Patient Care Manager Specialist , You Will:** + Provide oversight for patient care… more
- MetroLink (Los Angeles, CA)
- Social Media Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5183448) Apply Social Media Specialist Salary $63,277.00 - $98,080.00 ... Pacific + Description + Benefits + Questions SUMMARY The Social Media Specialist supports and enhances positive exposure and corporate image for Metrolink/SCRRA by… more
- Hartford HealthCare (Farmington, CT)
- …arise *_Working Relationships:_* *This Job Reports To:* Audit and Education Specialist Manager *_Requirements and Specifications:_* **Education** . Minimum: o ... common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education… more
- University of Washington (Seattle, WA)
- …Research Billing Specialist position will enable the Clinical Research Billing Manager and Lead to coordinate and engage in the planning and implementation of ... (eg, CTMS Target 3 rollout). The Clinical Research Billing Specialist will: + Support Billing team through day-to-day problem-solving...patient billing + Escalate issues to Team Lead or Manager as appropriate ** Medicare Rules: Application and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... or related field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing Manager … more
- State of Colorado (Denver, CO)
- Adult Protective Services Program Specialist (Social Services Specialist III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5181921) Apply ... Adult Protective Services Program Specialist (Social Services Specialist III) Salary $58,872.00...and updates training curriculum at the direction of the manager or designee and provides input into curriculum developed… more
- Rush University Medical Center (Chicago, IL)
- …serves as a subject matter expert in home infusion reimbursement, Medicare Part B, Medicaid, and commercial payer requirements. **Responsibilities** + Prepares ... requirements, and policies. + Provides guidance to the pharmacy manager to ensure financial targets are met. **Other Information**...home infusion pharmacy billing. + Minimum 1 year of Medicare (Part B) and Medicaid billing. + Knowledge of… more
- Rush University Medical Center (Chicago, IL)
- …resolution and reimbursement, and assists the pharmacy with Medicare audit-related billing information and patient balance collections. **Responsibilities** ... requirements, and policies. + Provides guidance to the pharmacy manager to ensure financial targets are met. **Other Information**...home infusion pharmacy billing. + Minimum 1 year of Medicare (Part B) and Medicaid billing. + Knowledge of… more
- Penn Medicine (Plainsboro, NJ)
- …Are you living your life's work? **Looking for a FT Verification Specialist ** **Schedule: M-F Day** **Department: Multi Specialty** **Location: 5 Plainsboro Rd** ... Summary: Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and coordination for all commercial, Medicaid… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Position Summary: Under the direction of the NeighborHealth PACE Senior Care Benefits Manager , the Enrollment and Eligibility Specialist will be responsible for ... you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential...of MassHealth eligibility + Strong knowledge of the overall Medicare eligibility of Part A, B and D +… more
- WestCare Foundation (Pikeville, KY)
- …for assisting the agency in ensuring that documentation requirements for Medicaid, Medicare and other funding sources per chapter and contract guidelines are adhered ... in the areas of quality documentation and records review in relation to Medicaid/ Medicare regulations and all other federal, state and local rules and regulations… more
- Molina Healthcare (Omaha, NE)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- MyFlorida (Moore Haven, FL)
- HEALTH INFORMATION SPECIALIST - 64051386 Date: Jan 10, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 865304 Agency: Department of Health Working Title: HEALTH INFORMATION SPECIALIST - 64051386 Pay Plan: Career Service Position Number: 64051386 Salary:… more
- Elara Caring (Springfield, MO)
- …the Right Time, in the Right Place. **Job Description:** Member Engagement Specialist **Monday-Friday, 8am-5pm** **Remote Opportunity** BSW or CCHW required + May ... day, right where they live. As a **Member Engagement Specialist ** , you'll play a key role in leading...on client needs. + Stay current on industry trends, Medicare /Medicaid regulations, and company service offerings. + Maintain compliance… more
- Aveanna Healthcare (Hamilton, NJ)
- Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 212428 Location: Hamilton, NJ 08691 Category: Business Operations Salary: $21.00 - $23.00 ... per hour Position Details Position Overview As an Operations Specialist , you will be an integral part of the...payroll processes during the absence of the Client Experience Manager , Client * Experience Coordinator or Executive Director as… more
- University of Southern California (Arcadia, CA)
- …and Coding Clinic for coding denials and/or adjustments. + Extensive knowledge of Medicare Part A and how the regulatory requirements impact DRG assignments. + ... Minimum (Required) Preferred (Not required) + A Certified Coding Specialist (CCS), Certified Coding Associate (CCA) or Certified Documentation Improvement… more
- HCA Healthcare (Richmond, VA)
- …to join an organization that invests in you as a Coding Account Resolution Specialist -Inpatient? At Parallon, you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Coding Account Resolution Specialist -Inpatient like you to be a part of our...with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Assigns interim… more
- UTMB Health (Texas City, TX)
- …day-to-day operation of clinic(s). + Supervises, directs, and evaluates Patient Services Specialist personnel. + Provides feedback to manager regarding Patient ... Patient Services Specialist Supervisor - Clear Lake Adult Medical Specialties...required for third party reimbursement. + Ensures compliance with Medicare and third-party coverage. + Communicates with patient, referral… more