- Community Health Systems (Franklin, TN)
- **Essential Duties and Responsibilities:** + Ensure accurate and complete account follow -up. + Resolve claim processing issues in a timely manner, evaluating problem ... claims to the appropriate managerial personnel with the insurance carrier's organization to quickly resolve delinquent claims or contacting patient or third party… more
- Baptist Memorial (Jackson, MS)
- Summary The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding ... education + Employee referral program Job Summary: Position: 10373 - Specialist -Accounts Receivable Follow Up Facility: BMHS - Regional Business… more
- Hartford HealthCare (Farmington, CT)
- …medical group and homecare to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third ... **Finance / Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA Third Party Follow Up* **Location:**… more
- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 14325 - Specialist -Accounts Receivable Follow Up Facility: BMH - Central Business ... Summary Responsible for follow up on Accounts Receivable to all payers....Performs other duties as assigned. Responsibilities + Communicates with Insurance companies daily + Reviews Payment Variance and Work… more
- TEKsystems (Plano, TX)
- Medicare Follow Up/Collections Specialist Will be working full time on-site in Plano, TX! This role offers bonus incentives based on performance once hired on ... for facilities assigned. . Performing timely collections and third-party follow -up. . Pursuing payments from insurance companies...Medicaid , Medicare, Accounts Receivable Core Experience: . A/R Follow Up . 2 + years of Medical Collections… more
- MyFlorida (Doral, FL)
- 68059208 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST Date: Jan 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Health Care Administration Working Title: 68059208 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST Pay Plan: Career Service Position Number: 68059208 Salary: $1,598.52 -… more
- Staffing Solutions Organization (Albany, NY)
- …monitor New York State's integrated care initiatives. The BASP is seeking a passionate Medicaid Healthcare Specialist to support the team in its mission and ... clients and the people they serve. **Senior Healthcare Program Specialist - Albany, NY or surrounding areas** **(100% Remote...+ 3 years of experience in public health, healthcare, insurance , policy, Medicaid programming, social work, or… more
- Ventura County (Ventura, CA)
- …Additionally, they effectively lead and train billers on Managed Care, Medicaid , Medi-Cal, Medicare, and Commercial Insurance , ensuring regulatory adherence ... systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing Specialist ...or conducts training on the specific areas of Managed Care/ Medicaid /Medi-Cal/Medicare and/or Commercial Insurance ; + Works with… more
- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million ... their best possible health and quality of life. **Medicare Sales Operations Specialist ** Executes all end-to-end functions relating to the investigation of sales… more
- Priority Health Care (Marrero, LA)
- …requests, and appeals, and monitoring day-to-day activities related to appeal follow -up and denials. Additionally, the Specialist is responsible for ... of any problems or deviations. + Maintain up-to-date knowledge of Medicare, Medicaid , and Private Insurance rules/procedures/rates for billing. + Monitor every… more
- New York State Civil Service (Rochester, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade 35 ... Code 14620 Duties Description Primary Duties and Responsibilities:As a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- MyFlorida (Fort Myers, FL)
- REGISTERED NURSE SPECIALIST - 64030599 1 Date: Jan 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 842208 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64030599 1 Pay Plan: Career Service Position Number: 64030599… more
- MyFlorida (Orlando, FL)
- …assist physicians in the exam room through nursing assessment and provision of nursing care/ follow -ups. The duties of the Nursing Program Specialist are but not ... NURSING PROGRAM SPECIALIST - 64006632 Date: Jan 23, 2025 The...administer prescribed medications. + Computer skills. + Knowledge of Medicaid and other third-party insurance . + Knowledge… more
- Omaha Children's Hospital (Omaha, NE)
- …up on outstanding insurance and government payor claims and charges in follow -up work queues and on various reports by contacting insurance or government ... accuracy of claim and COB registration information. If prior insurance pays more than Medicaid allowable when...Interface (EDI) transaction formats. + Completes all requests and follow ups with medical records, pharmacy, etc. in order… more
- University of Colorado (Aurora, CO)
- **Peer Recovery Specialist Patient Services** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of Psychiatry | ... Services (ARTS) | Adult Outpatient Program** **Job Title: Peer Recovery Specialist - Patient Services** **Position: #00828232 - Requisition: #35187** **Job… more
- Helio Health Inc. (Syracuse, NY)
- … insurance companies for services if patient has not done so. + Consistent follow up with all insurance companies to work claim denials. + Prepares weekly ... health disorders, and other behavioral healthcare issues. The Patient Access Specialist (PAS)meets with patients entering our programs to collect necessary data… more
- MyFlorida (Tampa, FL)
- …Administration (HRSA) guidelines + Maintaining an up-to-date working knowledge of Medicaid , Medicare, and private insurance benefit programs + Determining ... PUBLIC ASSISTANCE SPECIALIST - 64004449 Date: Jan 22, 2025 The...year of experience working with private and public health insurance (for example, Medicaid , Medicare, private, or… more
- New York State Civil Service (Poughkeepsie, NY)
- …Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 - Poughkeepsie,NY Occupational Category Health Care, Human/Social Services ... State NY Zip Code 12603 Duties Description The Habilitation Specialist 1 (HS1) has unique responsibilities to provide for...response to DQI audits, regulations, and their roles in Medicaid Compliance. * Write, revise as needed and oversee… more
- AdventHealth (Bolingbrook, IL)
- …Meets and exceeds productivity standards determined by department leadership + Contacts insurance companies by phone, fax, online portal, and other resources to ... obtain and verify insurance eligibility and benefits and determine extent of coverage...medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information… more
- Arkansas Children's (Little Rock, AR)
- …Medicine, Radiology, Nuclear Medicine, Genetics, Sleep lab and Heart Station departments. Performs Insurance Specialist I duties at an advanced level. 2. Obtains ... follow -ups on all assigned accounts including documenting detailed insurance information. 6. Ensures pre-certifications, pre-notifications, prior authorizations or… more