- MetroPlus (New York, NY)
- …to the Vice President of Provider Network Operations, the Director of Provider Data Integrity and Program Management is responsible for ensuring the highest ... for Network adequacy, including Medicare requirements and the NY Medicaid PNDS submissions. Develop and maintain Provider ...Operations environment. Act as a subject matter expert on Provider Data Management goals and strategies for… more
- Icon VendorPass and Affiliates (San Antonio, TX)
- …requirements. Conduct customer service tasks such as responding to Provider , applicants, administrators, and hospital inquiries, provide documents to ... UT Health and all facilities where the Provider delivers servicesWorks with Provider to prepare and submit Medicare & Medicaid applications to enrollment… more
- Volunteers of America Mid-States (Louisville, KY)
- …positive change in the lives of individuals and communities through a ministry of service . We provide housing for families, veterans, and low-income seniors. We ... provide care and support for individuals with developmental disabilities,...options through federal programs (National Health Corp & Public Service Loan Forgiveness) *All company paid benefits and paid… more
- Option Care Health (Chicago, IL)
- Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider , there is no limit to the growth of your career. Option Care Health, ... Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we… more
- Hart Medical Equipment (Petoskey, MI)
- …diffusing angry customers, as needed.. Provide customers with product and service information.. Maintain current knowledge on Medicare, Medicaid and third ... & Abilities. Excellent interpersonal, written and oral communication skills.. Customer service orientation. Attention to detail. Good data entry skills.… more
- A-Line Staffing Solutions (Minneapolis, MN)
- …Verification, Medicare, Medicaid , Medical billing, EOB, Benefit, Patient Service , PBM, Enrollment, Provider Services, Pharmacy, prior authorization, ... Full time Benefits Customer Service Representative openings in the Minneapolis, MN area...with sensitivity and discretion in accordance with HIPAA and Data Privacy laws and company data security… more
- Outreach Development Corp. (Queens, NY)
- …promptly and efficiently. Computer literate.Supervisory experience a plus.Strong customer service skills.Bilingual (Spanish / Polish) is a plus. Medicaid ... in seeking to improve physical plant function and safety.Ensuring the accuracy of data collection by printing out service activity reports and comparing them… more
- MetroPlus (New York, NY)
- …multiple health plan operational departments (ie, configuration, medical management, provider operations, customer service , utilization management, regulatory, ... list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus… more
- Mental Health Association (Middletown, NY)
- …and changes in law for programs with direct oversite.. Ensure monthly units of service , scorecard data and billing meet or exceeds projections. . Direct ... Title: Director of Clinical Operations Reports to: Executive DirectorJob Objective: Provide direct supervision to Director of Crisis Services, and Social Programs… more
- A-Line Staffing Solutions (Woodland Hills, CA)
- …tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to provider 's offices, and claims research. ... Insurance Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service , Healthcare, Inbound Calls, Outbound Calls, Medicare, Medicaid… more
- Mental Health Association (Middletown, NY)
- Description: Title: Associate Executive DirectorReports to: Executive DirectorJob Objective: Provide direct supervision to Chief Financial Officer, Director of Human ... Resources, Director of Corporate Compliance and Director of Marketing, Data Management and Social Programs. *Oversee and maintain agencies Finance Department, Human… more
- Blanchard Valley Health System (Findlay, OH)
- …State and county eligibility programs such as HCAP, 501-R, and Medicaid Positive service -oriented interpersonal and communication skills required. Knowledge ... and underinsured) patients for external and internal assistance programs, including Medicaid . This individual is also responsible for assisting patients in the… more
- A-Line Staffing Solutions (Tempe, AZ)
- …a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle ... Insurance Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service , Healthcare, Inbound Calls, Outbound Calls, Medicare, Medicaid… more
- Mental Health Association (Middletown, NY)
- …required data collection, statistical, and program reports.. Complete monthly Medicaid Managed Care billing as needed.. Responsible for the general oversight of ... management of call flow and Text4Teens).. Answer crisis calls while maintaining clinical service levels when needed.. Provide real time support to Crisis Call… more
- A-Line Staffing Solutions (Bloomington, MN)
- …Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service , Healthcare, Inbound Calls, Outbound Calls, Medicare, Medicaid ... client, and with time will be cross trained to provide assistance on multiple clients Spend your day either...and email Required: High school diploma or GED Customer Service and/or Call Center experience Good computer skills Bilingual… more
- Outreach Development Corp. (Queens, NY)
- …team. All hires must function within all OASAS 822, OMH, SAMHSA, Medicaid and State/County regulations and guidance for outpatient substance use disorder treatment. ... special attention to appropriate levels of care and appropriate clinical interventions. Provide backup coverage in the event of other clinical staff… more
- Aveanna Healthcare (Worcester, MA)
- …onboarding process Payroll Processes Staff development including orientation, in- service education, and continuing education Assure appropriate staff supervision ... during all service hours. Meets with locations leaders on routing intervals;...functions. Thorough review of activity reports and other performance data to measure compliance and goal achievement. Consistently meet… more
- Blanchard Valley Hospital (Findlay, OH)
- …System. REQUIRED QUALIFICATIONS High School Diploma or GED equivalent Exceptional customer service skills required Data entry and/or PC experience required ... offers financial assistance screenings and appropriately handles point of service collection discussions. Obtains required signatures and provides general… more
- MetroPlus (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus ... claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payment of claims… more
- Bridge Personal Care Services (Findlay, OH)
- …Assistant program Currently licensed in the State of Ohio Health Care provider CPR Certified Positive service -oriented interpersonal and communication skills ... Consistently maintains optimal patient care within budget constraints. Duty10: Displays Service Excellence as evidenced by practicing the mission, vision, and values… more
