- Novo Nordisk Inc. (Traverse City, MI)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Requirements, Step Therapy, Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to… more
- CVS Health (Cleveland, OH)
- …and every day. Company: Oak Street Health Title: Bilingual Spanish Behavioral Health Specialist Sign On Bonus: $5,000 Role Description: The purpose of a Behavioral ... Health Specialist at Oak Street Health is to provide care...be, providing personalized primary care for older adults on Medicare , with the goal of keeping patients healthy and… more
- CVS Health (Philadelphia, PA)
- …each and every day. Brief Description Oak Street Health's graduate Behavioral Health Specialist Fellowship is a 12-month paid training program that provides all the ... for older adults. Role Description: Oak Street Health's graduate Behavioral Health Specialist Fellowship is a 12-month paid training program in the revolutionary… more
- CVS Health (Lancaster, PA)
- …And we do it all with heart, each and every day. Title: Behavioral Health Specialist , House Calls Program Location: Lancaster, PA Schedule: 8am to 5pm [3-4 days from ... manages medical costs and provides an unmatched experience for adults on Medicare . The Oak Street model integrates outstanding clinical expertise, technology, and… more
- Jupiter Medical Center (Jupiter, FL)
- …to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education High School Graduate or Equivalent Experience / ... and ability to carefully follow directions. Position Summary The Patient Access Specialist will be responsible for delivering a dynamic customer experience to all… more
- UHS (Temecula, CA)
- …to achieve certification as a Gluten-Free Food Service facility, 3 Star Medicare Hospital Compare Rating, the American College of Cardiology Chest Pain Center ... visit www.SWHtemeculavalley.com . Patient Access Coordinator The Patient Access Specialist /Coordinator (PAS) demonstrates a solid knowledge of the registration… more
- Marshfield Clinic Health System (Phillips, WI)
- …the most exciting missions in the world! Job Title: Patient Access Specialist Cost Center: 501531099 Phillips-Primary Care Scheduled Weekly Hours: 40 Employee Type: ... of America) Job Description: JOB SUMMARY The Patient Access Specialist serves as an initial contact for patients and...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... follow us on LinkedIn; Facebook; and Twitter. The Job The Provider Services Specialist II is responsible for ingesting accurate provider data into SCAN's IKA system… more
- AdaptHealth LLC (Chula Vista, CA)
- …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 ... and appropriately utilizing technology to notate patient information/communication. Intake Specialist 's schedules can vary based on the need of...is considered any of the above tasks in a Medicare certified HME, IV or HH environment that routinely… more
- Ensemble Health Partners, Inc. (Pryor, OK)
- …on-site at Hillcrest Pryor. We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all ... and distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form, Consent forms,… more
- Nexus Health Systems (Houston, TX)
- …credits before the end of each month for Federal and State-funded agencies. ( Medicare , Managed Medicare , Medicaid, Managed Medicaid, DARS). 20. Credit balances ... on non-Federal or State Funded claims are prepared on the adjustment sheets and forwarded to Refund Pending, waiting for refund requests from payers. 21. Work accounts assigned on aging twice per month. Follow-up is required every 7-14 days, depending on how… more
- Advocate Aurora Health (Wake Forest, NC)
- …all active providers. Actively participates in all audits, ie Managed Care, Medicare , state licensure, etc. Actively participates in all surveys, ie Joint ... Commission, Medicare , all disease specific surveys, etc. Provides support for medical staff including preparing and distributing agendas and related materials for… more
- Terros Health (Glendale, AZ)
- …Specialistworking at our Olive AveHealth Center in Phoenix, AZ.The Health Relations Specialist is the front line for interfacing with patients in Terros Health ... 2023 Terros Health is hiring a Health Center Relations Specialist for our Olive Ave Health Center in Phoenix,...UDS guidelines. Basic knowledge of insurance levels, such as, Medicare , Medicaid, commercial plans, and various other types. Benefits… more
- Ensemble Health Partners, Inc. (Fairfield, OH)
- …8am-4:30pm (weekend rotation and on call required) The Senior Patient Access Specialist is responsible for performing admitting duties for all patients admitted for ... held accountable for point of service goals as assigned. Senior Patient Access Specialist staff are responsible for the utilization of quality auditing and reporting… more
- WMC Health (Hawthorne, NY)
- Job Details: Job Summary: The Credentialing Specialist -Provider Enrollment position acts as a liaison between providers, revenue cycle and practice operations ... that all providers are set up correctly with payers. The Credentialing Specialist - Provider Enrollment position is responsible for providing administrative support… more
- AdaptHealth LLC (Kingsport, TN)
- …click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire ... Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents… more
- Savista (Vista, CA)
- …of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose The Eligibility Specialist I is a critical advocate for patients, helping uninsured and ... programs. Facilitate the application process for programs such as Medicaid, Medicare , Disability, and hospital charity care, ensuring timely submission of accurate… more
- Pennsylvania Medicine (Elizabethtown, PA)
- …day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Hospital Location: Norlanco Outpatient Center- 424 Cloverleaf ... (Required) A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- StateJobsNY (Staten Island, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...in Canada, AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if… more
- Fairview Health Services (Burnsville, MN)
- …and communicate/deliver notices of non-coverage to patients (ex: HINN, ABN, waiver, Medicare lifetime reserve days). Follow up with payers on active authorized ... referral requests to verify determination or payer step in determination process. Required Qualifications 2 years combination of customer service, other position in healthcare revenue cycle or experience in an equivalent level 1 position Demonstrate the… more
