- Insight Global (Camden, NJ)
- Job Description Insight Global is looking for a Credit/Balance Specialist to join one of our healthcare clients teams in Camden, NJ. The ideal candidate will have ... strong experience within hospital billing , specifically with credits/overpayments, refunds, submitting/disputing/appealing high dollar claims, authorizations,… more
- Trinity Health (Livonia, MI)
- …NAHAM strongly preferred Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid , managed care contracts and ... an understanding of regulatory and payer changes. Special note for Physician Billing Denials Prevention - Additional nice to have qualification: 3 years revenue… more
- J&J Family of Companies (Fort Worth, TX)
- …**Job Description:** We are searching for the best talent for Area Business Specialist to be in Fort Worth, TX/Dallas, TX. **About Immunology** Our expertise in ... of the way. Learn more at https://www.jnj.com/innovative-medicine As the Area Business Specialist (ABS), you will: + Ensure appropriate identified new and existing… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Benefits Verification Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $21.00 Hourly Job Category Pharmaceutical ... Description JOB SUMMARY: Polaris Specialty Pharmacy is seeking a Benefits Verification specialist to support patient access to specialty medications. This role is… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care ... actions to improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with the Claims Research colleague and other team… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... As a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's clients by unlocking new partnerships and… more
- Mount Sinai Health System (Elmhurst, NY)
- …up projects for Claim Edit holds are placed for providers pending certification with Medicaid for electronic billing , and Follow Up work queues are monitored for ... the supervision of the Administrative Manager assists with the Medicaid enrollment and maintains files . 2. Assist with...enrollment and gives access to the provider listing for billing vendor use. 10. Manages One App folder organization… more
- Molina Healthcare (Omaha, NE)
- …accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1 ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (Kenosha, WI)
- …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Beth Israel Lahey Health (Westwood, MA)
- …over 25 affiliated health plans/ products, including Medicare and Medicaid . **Job Description:** **Primary Responsibilities:** **Facilitates timely enrollment of new ... and health plan enrollment and credentialing guidelines (including Medicare and Medicaid ). (essential)** **Compiles accurate health plan application packets for the… more