- Providence (Salem, OR)
- …and retain the best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process ... time **Job Shift:** **Career Track:** Admin Support **Department:** 5018 OPS PHT CLAIMS MEDICAID OR REGION **Address:** OR Salem 3993 Fairview Industrial Dr SE… more
- BrightSpring Health Services (Uniondale, NY)
- …retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...+ Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing… more
- Montrose Memorial Hospital (Montrose, CO)
- …+ The Claims Analyst III must know the essential functions of denied claims for Medicare, Medicaid and Commercial payers for accurate payments of services ... portals. All About You : + High school diploma or equivalent; Associate degree preferred. + AAHAM(American Association of Hospital Administrative Management) CRCS… more
- New York State Civil Service (Albany, NY)
- …and Dental Directors' Bureau of Medical Review. This unit is responsible for review of Medicaid claims pended for timely filing, requests for two-year waiver of ... NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 1 - 88282 (HELPS) Occupational Category Clerical, Secretarial, Office Aide Salary Grade… more
- Elderwood (Buffalo, NY)
- …Pharmacy Billing Specialist is responsible for electronic billing of Medicare, Medicaid and Third Party Insurance claims , utilizing Frameworks LTC Pharmacy ... Pharmacy Billing Specialist Responsibilities: + Electronic billing of Medicare, Medicaid and Third Party Insurance claims utilizing Framework LTC Pharmacy… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …for clinical and operational excellence. Home Care The Accounts Receivable Specialist is responsible for implementation and coordination of fiscal transactions in ... a timely and accurate manner. This includes claims processing, cash collection, claims resolution, resolving credit balances, EOM balancing and monthly… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 1 - 78900 & 78901 (NY HELPS) Occupational Category Other Professional Careers Salary ... with permanent or contingent-permanent status as a Medical Assistance Specialist 1; OR current NYS employee with one year...Either 1: Six years of qualifying experience;Or 2: an Associate 's degree AND four years of qualifying experience;Or 3:… more
- Northern Light Health (South Portland, ME)
- …accounts and billing. + Knowledge of requirements of the Centers for Medicare & Medicaid Services (CMS) claims forms; CMS-1500 and CMS-1450 (UB04). + Knowledge ... Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement… more
- Molina Healthcare (Owensboro, KY)
- …This position is responsible for timely completion of Medicare and Medicaid applications for new and existing providers, reviewing, and verifying information ... * Prepares and submits enrollment applications to Medicare and Medicaid for new and existing providers and follows up...standardized processes. * Submits requests and follow up to claims payment systems QNXT/MAPD. * Offboarding providers to ensure… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Sevita (Raleigh, NC)
- …a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment to serve others by ... sending claims to the payer in a timely and accurate...needed Qualifications: + High school diploma or equivalent required; Associate or Bachelor's degree preferred + 2-3 years of… more
- Children's Hospital Boston (Boston, MA)
- …Hours per Week:40 Job Posting Category:AdministrationJob Posting Description:Provider Enrollment Specialist will: + Coordinate and oversee all aspects of initial ... with potential issues holistically and comprehensively. + Coordinate the out-of-state Medicaid enrollment process for all billable providers by current enterprise… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Humana (Tampa, FL)
- …and help us put health first** The Accounts Receivable/Accounts Payable Specialist / Professional 2 prepares, records, verifies, analyzes and reports accounts ... to any miscellaneous queries. Tampa, FL area The Accounts Receivable/Accounts Payable Specialist / Professional 2 + Pays vendor invoices and receives and posts… more
- Intermountain Health (North Salt Lake, UT)
- …and Collections Specialist is responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintain ... detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation responsible for maintaining… more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Specialist ** _If you're looking for a fast-paced, high volume growth opportunity with great benefits and the ability to work remote. This may be the ... You Will Do** Expedite and maximize payment and resolution of insurance medical claims by resolving edits, denials, payment issues in a timely manner. Document… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (ALD) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Robert Half Accountemps (Poway, CA)
- …and high-quality medical care. We are looking for a motivated Medical Billing Specialist to join our dedicated and compassionate team. We offer a rewarding and ... Description: We are currently seeking a detail-oriented and reliable Medical Billing Specialist to oversee our medical billing operations. This individual will be… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:** 40 ... **Job Description:** **JOB SUMMARY** The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the daily administration of the SHP pharmacy… more
- Robert Half Accountemps (Temperance, MI)
- …all services provided. Comply with specific guidelines for all carriers, Medicaid , Medicare and third party reimbursement policies, regulations and accreditation ... guidelines. Reviewing, revising and working rejections and resubmitting claims . Submission of secondary claims upon processing of primary insurance. Provide… more