- MultiPlan (Atlanta, GA)
- Provider Contract Specialist - Medicare Advantage and Managed Care (Network Development Specialist ) Remote At MultiPlan, we pride ourselves on being a ... dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders - internal and external - driving us to consistently exceed… more
- Community Hospital Corporation (Plano, TX)
- …DFW Top 100 Employer, is looking for a Supply Chain Operations and Communications Specialist based out of our home office in Plano, TX. This position, under general ... supervision, the Operations and Communications Specialist will work closely with the CHC Supply Trust team to ensure operations are optimized in identified areas.… more
- JobsRUs (Mishawaka, IN)
- …Shift Details: 7:30AM - 3:30PM EXPERIENCE: 1 year Denial Management Unit: Managed Care Denial Management DESCRIPTION:Must Have Skills/Experience: HS Diploma / ... Healthcare experiencePreferred Skillset/Experience: 1 year or more Denial Management with Managed Care Payors.Personality Fit: Assertive Personality to be able… more
- Creative Financial Staffing (Brooklyn, NY)
- …updated timely according to the schedule published by CMS Medicare/ Medicaid and Managed Care Organizations regulations. Ensure contracted Managed Care ... Title: Part Time Credentialing Specialist ABOUT THE COMPANY: Our client is a...ethnic minorities in the community. They provide coordinated health care and supportive services to help individuals, families, and… more
- Careers Integrated Resources Inc (Downers Grove, IL)
- …operations within 90 days of hire. Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians. Skills/Aptitudes: ... Job Title: Medical Management Specialist Job Location: Downers Grove, IL 60515 Duration:...and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date… more
- Staffing Now (Boston, MA)
- …required. Experience working with Medicare Parts B and D or Medicaid Plan preferred. Experience in retail, hospital, or managed care pharmacy industry required. ... Pharmacy Operations Specialist temporary position. Duties: Review daily reject and paid claims to ensure proper adjudication. Daily and monthly transition review,… more
- Staffing Now (Boston, MA)
- …requiredExperience working with Medicare Parts B and D or Medicaid Plan preferredExperience in retail, hospital, or managed care pharmacy industry required. ... Pharmacy Operations Specialist temporary positionDuties: Review daily reject and paid claims to ensure proper adjudicationDaily and monthly transition review,… more
- A-Line Staffing Solutions (St. Louis, MO)
- …and Appeals, Appeals and Denials, HEDIS, STARS, CMS, Medicare, Medicaid, PBM, Claims, Rx, Health Plan, Health Insurance, MCO, Managed Care , Medical Claims. ... Accounts Payable, Billing Specialist openings with a Major Health Plan based in the St. Louis, MO area! Starting ASAP!! Apply now with Luke H. at A-Line!Remote for… more
- DeNovo Staffing (Houston, TX)
- …reflects well on the firm and assures the client that their case is being managed with the utmost professionalism and care for their well-being. Duties and ... Houston, TX is seeking a Bilingual (Spanish) Client Relations Specialist to join their growing team. The firm currently...schedule of 8:30am to 5pm CST. The Client Relations Specialist position is for an individual contributor who focuses… more
- ICONMA (Norwood, OH)
- …contact providers for application information when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies ... related to provider applications, and follow-up with physicians and assist with completing applications. Ensure timely submissions of all re-appointments and re-credentials, verifies all licenses are current, and maintains internal files, including copies of… more
- Creative Financial Staffing (Rahway, NJ)
- …PTO, and more Responsibilities of The Billing Manager: Handling medical billing and collections, managed care organizations working with CMS / CPT / HCPCS codes, ... claim submissions contract negotiations strong communication skills Minimum Qualifications of The Billing Manager Two years of relevant billing experience. Advanced proficiency in spreadsheet applications and word processing required Supervisory Experience more
- Wind Crest by Erickson Senior Living (Highlands Ranch, CO)
- …by Erickson Senior LivingJob DescriptionWind Crest is a beautiful 84-acre continuing care retirement community located in Highlands Ranch, just 15 minutes southwest ... part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of...Living, a national provider of senior living and health care with campuses in 11 states-and growing. We are… more
- Cedar Crest Village by Erickson Senior Living (Pompton Plains, NJ)
- …Crest Village by Erickson Senior LivingCedar Crest is a beautiful 130-acre continuing care retirement community nestled in the Ramapo Mountains in Pompton Plains, a ... part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of...Living, a national provider of senior living and health care with campuses in 11 states-and growing. We are… more
- Ashby Ponds by Erickson Senior Living (Ashburn, VA)
- …Ponds by Erickson Senior LivingAshby Ponds is a beautiful 132-acre continuing care retirement community in Loudoun County, Virginia. We're part of a growing ... network of communities developed and managed by Erickson Senior Living, a national provider of...Living, a national provider of senior living and health care with campuses in 11 states-and growing. We are… more
- Seabrook Village by Erickson Senior Living (Tinton Falls, NJ)
- …Village by Erickson Senior LivingSeabrook is a beautiful 98-acre continuing care retirement community located in the picturesque Monmouth County neighborhood of ... part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of...Living, a national provider of senior living and health care with campuses in 11 states-and growing. We are… more
- Hired by Matrix (Norwood, OH)
- …contact providers for application information when necessary, contact government agencies and managed care companies to obtain status and resolve discrepancies ... a healthcare provider? If so, our client is hiring an Payer Enrollment Specialist (Day)! What You'll Do: Responsible for the credentialing of physicians and allied… more
- Accounting Now (Pinellas Park, FL)
- …account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care , and commercial insurance payers. The medical billing ... accurately sent to insurance companies.Perform follow up with Medicare, Medicaid, Medicaid Managed Care , and health insurance companies on unpaid insurance… more
- Marion County (Salem, OR)
- …use disorders who are under the jurisdiction of the PSRB.A Mental Health Specialist on this team provides individual and group therapy, case management, and ... their conditional release orders and able to be safety managed in the community. Conduct home visits and have...community partners, including the PSRB, I/DD Services, PTCN, licensed care providers, and other entities that provide services to… more
- The Bartech Group Inc (Menomonie, WI)
- …are powered by Impellam Group, a connected group providing global workforce and specialist recruitment solutions. Our client has engaged us to assist them in hiring ... and lines per man hourAssure flow of inbound/outbound material is managed according to Partners In Customer Satisfaction (PICS) ProcessAssure continuous improvement… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …DegreeMinimum Experience: Minimum two (2) years credentialing experience in a managed care organization, hospital or physician environment. Proficient in ... an accurate provider roster. Works in partnership with the Quality Specialist , the Provider Relations Representative and the Central Verification Office (CVO)… more
