- 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
- El Paso County (Colorado Springs, CO)
- Human Services Benefits & Eligibility ( Associate & Specialist ) Print (https://www.governmentjobs.com/careers/elpasocountyco/jobs/newprint/4556516) Apply Human ... Services Benefits & Eligibility ( Associate & Specialist ) Salary See Position Description...as Adult Financial assistance, Long Term Care, SNAP, and Medicaid . In this position, you would rotate with other… more
- El Paso County (Colorado Springs, CO)
- Human Services Benefits & Eligibility ( Associate & Specialist ) Print (https://www.governmentjobs.com/careers/elpasocountyco/jobs/newprint/4554909) Apply Human ... Services Benefits & Eligibility ( Associate & Specialist ) Salary See Position Description...including but not limited to Health First Colorado [formerly Medicaid ], Colorado Child Care Assistance, Supplemental Nutritional Assistance Program… 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
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal,… 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
- LA Care Health Plan (Los Angeles, CA)
- Coordination of Benefits Validation Specialist II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los Angeles, ... that purpose. Job Summary The Coordination of Benefits (COB) Validation Specialist ensures the accurate coordination of healthcare benefits for individuals covered… 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 (Chelsea, 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
- Evolent Health (Columbus, OH)
- …outreach, and administrative auditing. This position reports to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist ... for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass determining… more
- TEKsystems (Fresno, CA)
- Description: Job Description The Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to verify patient specific ... benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and...* Could include documenting and initiating prior authorization process, claims appeals, etc. * Completes quality review of work… more