• Claims Specialist

    BrightSpring Health Services (Taunton, MA)
    Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...financial risks + Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D… more
    BrightSpring Health Services (09/13/24)
    - Save Job - Related Jobs - Block Source
  • Healthcare Claims Denials Specialist

    CenterWell (Atlanta, GA)
    …+ Guide/instruct and support agency personnel encompassing all aspects of insurance and non- Medicare claims processing. + Prepare input data forms to update ... help us put health first** As an **Accounts Receivable Specialist /Healthcare Claims Denials Specialist ** ,...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
    CenterWell (09/06/24)
    - Save Job - Related Jobs - Block Source
  • Pharmacy Claims Specialist

    BrightSpring Health Services (Uniondale, NY)
    …billing to eliminate financial risks + Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party ... focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh… more
    BrightSpring Health Services (09/03/24)
    - Save Job - Related Jobs - Block Source
  • Claims Specialist

    Grace Health (Battle Creek, MI)
    …+ Acquires patient billing information from patients and source documents. + Produce claims on regular schedule to Medicare , Medicaid, insurance carriers, and ... + Facilitates prior authorization for dental procedures. + Manages Senior Millage Program, tracking and reporting. + Works dental...or GED + Entry level, 0-3 years coding and/or claims processing experience in a health care organization. Dental… more
    Grace Health (08/31/24)
    - Save Job - Related Jobs - Block Source
  • Registration Specialist Senior

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    *_SUMMARY:_* We are currently seeking a*Registration Specialist Senior *to join ourAdmitting and Registration. This0.50 FTE (40 hours per pay period) role will ... (SHIFT: Nights and Every Other Weekend). *Purpose of this position:*Registration Specialist Senior provides revenue cycle services and assumes responsibility… more
    Minnesota Visiting Nurse Agency (08/24/24)
    - Save Job - Related Jobs - Block Source
  • Senior Billing Specialist (40…

    Lancaster General Health (Lancaster, PA)
    …duties: + Responsible for all billing tasks associated with producing and submitting claims for all assigned payers including PPS payers. Reviews claims for ... system for tracking outstanding accounts receivable bills. Reviews outstanding claims on a regular basis and takes necessary steps...+ A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance… more
    Lancaster General Health (09/07/24)
    - Save Job - Related Jobs - Block Source
  • Business Systems Specialist

    Medical Mutual of Ohio (OH)
    Medicare Supplement, and individual plans. **Responsibilities** **Business Systems Specialist I** Works with management, external vendors, and Information Systems ... the development of more junior staff. . Performs other duties as assigned. ** Senior Business Systems Specialist ** Works with management, external vendors, and… more
    Medical Mutual of Ohio (09/29/24)
    - Save Job - Related Jobs - Block Source
  • Patient Account Specialist

    Scripps Health (San Diego, CA)
    …who thrives in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist , you will be responsible for the ... Health for over 10 years. As a Patient Account Specialist , you will be supporting the Billing Services department...guidelines. * Follows-up with insurance carriers timely on unpaid claims until claims are paid or only… more
    Scripps Health (09/06/24)
    - Save Job - Related Jobs - Block Source
  • Accounts Receivables Specialist

    Gentiva (Mooresville, NC)
    …in people's lives every day. **Overview** We're looking for an **Accounts Receivable Specialist ** to join our team. You will report directly to the Senior ... timely reimbursement of receivables. * Research, resolve, and prepare claims that have not passed the payer edits daily....Insurance billing and reimbursement, coding, Commercial + EOB and Medicare and Medicaid remits + EOB and Medicare more
    Gentiva (07/26/24)
    - Save Job - Related Jobs - Block Source
  • Accounts Receivable Billing Specialist

    Cassia (Edina, MN)
    Cassia, a healthcare organization, is hiring an Accounts Receivable Specialist to work with our growing department that focus on billing for Medicare A, Managed ... Care, and Medicaid. The Accounts Receivable Specialist reports to the Director of Reimbursement. At our...staff who are dedicated to the well-being of our senior care residents. We serve facilities in Minnesota, North… more
    Cassia (09/11/24)
    - Save Job - Related Jobs - Block Source
  • Medical Insurance Collections Specialist

    HCA Healthcare (Las Vegas, NV)
    …diversity and inclusion thrive? Submit your application for our Medical Insurance Collections Specialist opening with HCA Healthcare today and find out what it truly ... by location._** We are seeking a Medical Insurance Collections Specialist for our team to ensure that we continue...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims more
    HCA Healthcare (09/19/24)
    - Save Job - Related Jobs - Block Source
  • Benefits Specialist , Sr.

    Precise Systems, Inc. (Lexington Park, MD)
    …exceptional service and the Precise solution. We are currently seeking a Senior Benefits Specialist . This individual will be responsible for coordinating, ... implementing, and administering the Wellness program. Distinguishing Characteristics Further, the Senior Benefits Specialist will serve as a resource for… more
    Precise Systems, Inc. (09/17/24)
    - Save Job - Related Jobs - Block Source
  • Senior Management Analyst (Project…

    MetroLink (Los Angeles, CA)
    Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply  Senior Management Analyst ... Authority (SCRRA), operator of the METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will implement the tools and systems… more
    MetroLink (09/15/24)
    - Save Job - Related Jobs - Block Source
  • Senior Contract & Compliance Administrator

    MetroLink (Los Angeles, CA)
    Senior Contract & Compliance Administrator Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4642379) Apply  Senior Contract & Compliance ... PURPOSE OF POSITION Metrolink is seeking a highly skilled Senior Contract and Compliance Administrator to join our Contracts...compliance. + Assist in developing strategies to avoid risk, claims , damages, and impact to schedule. + Work with… more
    MetroLink (09/20/24)
    - Save Job - Related Jobs - Block Source
  • Payer Enrollment Contract Specialist

    Logan Health (Kalispell, MT)
    …At Logan Health, we are seeking a meticulous and detail-oriented Payer Enrollment Contract Specialist to join our dynamic team. Your role will be pivotal in managing ... processes adhere to federal, state, and payer-specific guidelines, including HIPAA and Medicare requirements. + Liaison with Stakeholders: Serve as the main point of… more
    Logan Health (09/24/24)
    - Save Job - Related Jobs - Block Source
  • Provider Transformation Specialist - Hybrid

    Highmark Health (Pittsburgh, PA)
    …the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide ... outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share… more
    Highmark Health (09/21/24)
    - Save Job - Related Jobs - Block Source
  • Senior Coding System Configuration…

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …all positions. **Position Purpose:** This position serves as the medical coding system specialist on CPT, HCPCS, ICD-10-CM, and CDT coding for internal and external ... national physician specialty organizations, American Medical Association, Centers for Medicare and Medicaid Services (CMS/HCFA), Louisiana Medicare and… more
    Blue Cross and Blue Shield of Louisiana (09/15/24)
    - Save Job - Related Jobs - Block Source
  • Senior Cardiology and Interventional…

    Banner Health (AZ)
    …areas such as Billing, Coding, CDM Services Expected reimbursement. The Senior Cardiology and Interventional Radiology Certified Coder's main job responsibilities ... to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)...edits related to cardiac cath and interventional radiology technical claims within nThrive claims and Charge Capture… more
    Banner Health (09/08/24)
    - Save Job - Related Jobs - Block Source
  • Lead Risk Adjustment Analyst - HFHP Risk…

    Health First (Rockledge, FL)
    …and meet communicated departmental goals and deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS). *Primary ... updates to Risk Adjustment leadership. 3. Work closely with Senior Analysts and Value Capture leaders to ensure the...in order to increase awareness of the significance of Medicare Risk Adjustment (MRA) within the CMS Risk Adjustment… more
    Health First (09/24/24)
    - Save Job - Related Jobs - Block Source
  • Adjudicator Point of Sale

    BrightSpring Health Services (Longmont, CO)
    …billing to eliminate financial risks + Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party ... can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in… more
    BrightSpring Health Services (08/30/24)
    - Save Job - Related Jobs - Block Source