- HCA Healthcare (Asheville, NC)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Medicaid Specialist PACE Program for our team ... If you find this opportunity compelling, we encourage you to apply for our Medicaid Specialist PACE Program opening. We promptly review all applications.… more
- CCSI INC (Norwich, NY)
- …compliance program requirements as detailed by NYS Office of Medicaid Inspector General. + Working knowledge of legislative review and interpretation. + ... Compliance and Quality Improvement Specialist - On Site Norwich, NY, NY (http://maps.google.com/maps?q=5+Court+St+#42+Norwich,+NY+NY+USA+13815) * Chenango County… more
- Trinity Health (Philadelphia, PA)
- …of contact for new referrals. + Educate prospective enrollees and families about the PACE program . + Gather and input clinical, financial, and demographic data ... **Employment Type:** Full time **Shift:** **Description:** **Enrollment Specialist ** Trinity Health PACE Broad Street...in introducing prospective participants and their families to the PACE ( Program of All-Inclusive Care for the… more
- Penn Medicine (Columbia, PA)
- …day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Hospital Location: Columbia Outpatient Center, 306 North 7th ... A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,... or any other federal or state health insurance program . + One 1 year of Epic or equivalent… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …partner in care, transforming how patients experience long-term, post-acute, correctional, PACE , and specialty pharmacy services. As industry leaders, we're raising ... to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio...D plans, third party insurance companies, and all state Medicaid plans to ensure maximum payer reimbursement adhering to… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …partner in care, transforming how patients experience long-term, post-acute, correctional, PACE , and specialty pharmacy services. As industry leaders, we're raising ... need it most, we invite you to grow with us. OVERVIEW As a Collections Specialist , you will be responsible for monitoring the receivables on patient accounts in a… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …partner in care, transforming how patients experience long-term, post-acute, correctional, PACE , and specialty pharmacy services. As industry leaders, we're raising ... you to grow with us. JOB SUMMARY: The Billing Specialist is responsible for Nursing Homes, Assisted Living Facilities,...census balancing and payor verification + Verify insurance and Medicaid coverage + Knowledge of Dual Coverage, MCR D,… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …partner in care, transforming how patients experience long-term, post-acute, correctional, PACE , and specialty pharmacy services. As industry leaders, we're raising ... you to grow with us. POSITION OVERVIEW The Billing Specialist ensures accurate billing for Nursing Homes, Assisted Living...census balancing and payor verification * Verify insurance and Medicaid coverage * Handle Dual Coverage, Medicare Part D,… more
- Ochsner Health (Jefferson, LA)
- …and observation patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate ... Management Association (AHIMA)/American Association of Professional Coders (AAPC) coding program with certification **Work Experience** Required - 1 year of… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care for ... the Elderly)- in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. **Brief of Summary of Purpose:** Responsible for processing, verifying, and reconciling Accounts Payable invoices. **Responsibilities** **Primary Job… more
- Trinity Health (Gaithersburg, MD)
- …in Gaithersburg, Maryland - Full Time** **Position Purpose** The Financial Operations Specialist supports the financial operations of one or more Trinity Health ... PACE (TH PACE ) programs. This role manages revenue cycles for Medicare, Medicaid , and private pay, oversees expense cycles including vendors and medical… more
- Penn Medicine (Lancaster, PA)
- …are placed in compartments for specified days of the week + Provides specialist health check services, such as measuring and fitting compression hosiery, monitoring ... A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,... or any other federal or state health insurance program . + Previous retail pharmacy experience preferred. + Attention… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... partner in care, transforming how patients experience long-term, post-acute, correctional, PACE , and specialty pharmacy services. As industry leaders, we're raising… more
- Fallon Health (Boston, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care for ... for MassHealth programs such as the personal care attendant program , adult foster care, group adult foster care, and...member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost… more
- Fallon Health (Worcester, MA)
- …and Medicaid . We also serve as a provider of care through our Program of All-Inclusive Care for the Elderly ( PACE ). Dedicated to delivering high quality ... Supports. The BHCM may also refer members to Flex Program as applicable depending upon the ACO the member...member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost… more
- Grifols Shared Services North America, Inc (Minneapolis, MN)
- …the company. The SSR will also be tasked to move at a rapid pace using digital resources for customer engagement and to use technology for call planning/targeting, ... territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) *Understanding of Hospital formulary with guidance of RSD and NAM/NAD… more
- LA Care Health Plan (Palmdale, CA)
- …relationships with multiple stakeholders and have worked as a senior CRC Specialist . Health care product experience including one of the following health care ... programs: Medicaid /Medi-Cal, Covered California, or Medicare Special Needs Plan. Experience...The job may require working at a production rate pace entailing the constant pushing and/or pulling of materials… more