- Medical Mutual of Ohio (OH)
- …help our members achieve their best possible health and quality of life. ** Medicare Sales Operations Specialist ** Executes all end-to-end functions relating to ... and other fulfillment needs identified for the business area. **Sr. Medicare Sales Operations Specialist ** Executes end-to-end functions relating to… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow -up Representative are responsible for the compliant, accurate and timely billing and follow -up of all hospital Medicare ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and...the claim for further review + Meet Billing and Follow -up productivity and quality requirements as developed by Leadership… more
- Owens & Minor (Austin, TX)
- …teammates. Owens & Minor teammate benefits include: + Medical, dental, and vision insurance , available on first working day + 401(k), eligibility after one year of ... required to request Medical documentation and assure received documentation meets insurance payer guidelines. When applicable, the audit coordinator will be… more
- Ventura County (Ventura, CA)
- …appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. IDEAL CANDIDATE ... 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 … more
- HCA Healthcare (Las Vegas, NV)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Medical Insurance Collections Specialist with HCA Healthcare you can be a part ... our organization. We are looking for an enthusiastic Medical Insurance Collections Specialist to help us reach...to the company's mission, vision, and values by completing follow -up and collections for patient services. Under the supervision… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … Medicare Supplement, and individual plans._** **Responsibilities** **Cash Recovery Specialist ** Reviews and research routine to moderately complex refunds and ... **_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 1.2 million… 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
- Insight Global (Arlington Heights, IL)
- …looking for a billing reimbursement specialist . They will be working on the Medicare team for the follow up and reconciliation and billing processes team. ... They will be contacting employers, insurance carriers and Medicare parties for interpretation...that the services billed are covered under the patients insurance plan. The specialist communicates with … 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 ... Manager of any problems or deviations. + Maintain up-to-date knowledge of Medicare , Medicaid, and Private Insurance rules/procedures/rates for billing. + Monitor… more
- ChenMed (Southfield, MI)
- …patient visits with specialty care. This includes working with insurance representatives and outside vendors, arranging transportation, communicating with ... of appointment information: date, time, and location. + Uses web-based insurance platforms to generate referral authorizations. + Effectively communicates the… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …. 5 years as an Appeals Specialist or equivalent experience in Medicare health insurance claims, customer service, billing or related operations preferred. ... denial issues related to appeal requests. Completes cases within the Center for Medicare & Medicaid Services (CMS) timeframes. . Utilizes the appropriate systems and… 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
- The Arc Erie County NY (Williamsville, NY)
- …to individual benefits including, but not limited to, SSI, Social Security Assistance, Medicare , food stamps, and health insurance . This position is also the ... Position: We are currently seeking a Benefits / Entitlement Specialist for our corporate office located in Williamsville, NY...including, but not limited to, SSI, Social Security Assistance, Medicare , food stamps, and health insurance . This… more
- Sanford Health (Fargo, ND)
- …work independently, able to stay on task, and a unique understanding of insurance . The Pharmacy Business Specialist 's duties and responsibilities are as follows: ... Range:** $15.00 - $23.00 **Job Summary** The Pharmacy Business Office Specialist , supports retail pharmacy operations. The position is Monday-Friday no weekends… 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...+ Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant… more
- Lakeview NeuroRehabilitation Center (Waterford, WI)
- …guidance, counseling, and support on private and public benefit programs, including insurance , Medicare , Medicaid, Social Security, and other financial and ... resources they need. Must be able to explain for Medicare and Medicaid to patients! + Location: Lakeview Specialty...and services. + Program Support: Offer ongoing support and follow -up to ensure clients' benefit needs are met and… more
- Hartford HealthCare (Farmington, CT)
- …common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education ... and healthcare revenue cycle industry practices. The audit and education specialist will support documentation practices that comply with CMS risk adjustment… more
- New York State Civil Service (Rochester, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 Occupational Category Administrative or General Management Salary ... State NY Zip Code 14620 Duties Description Under the direction of a Human Resources Specialist 2, the Human Resources Specialist 1 will provide a full range of… more
- Sea Mar Community Health Centers (Mount Vernon, WA)
- …to facilitate communication and ensure continuity of care. + Primary care and specialist follow -up: + Knowledge of Red Flags: Patient is knowledgeable about ... entities such as Accountable Communities of Health and Medicaid/ Medicare organizations. + The TOC Integration Specialist ...+ Dental + Vision + Prescription coverage + Life Insurance + Long Term Disability + EAP (Employee Assistance… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …Center, at least 3-5 years previous experience including experience with medical insurance processing, Medicare , Medicaid, CCI edits, Medicare Functional ... Intake & Customer Service Specialist Department: Community Health & Research Center Location:...known and accommodations for individuals with a disability + Follow up with appropriate staff and document results on… more