- Fallon Health (Worcester, MA)
- …than you have in your current role + Our model is low-volume and very member and quality care focused **About Fallon Health** Founded in 1977, Fallon Health is a ... leading health care services organization that supports the diverse and changing needs...offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique… more
- MyFlorida (Tallahassee, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... required to perform the following duties independently, as a member of a team, or in an in-charge capacity...in-charge capacity as assigned by the Senior Management Analyst Supervisor and/or Audit Director. Assists the Senior Management Analyst… more
- Northern Light Health (South Portland, ME)
- …Per Week: 40.00 Work Schedule: Variable Summary: Under the supervision of the Supervisor Scheduling and the direction of the Lead Scheduler, the Central Scheduler is ... information over the telephone providing for the balance between customer services and confidentiality of all patients. * Maintains patient confidentiality by… more
- New York State Civil Service (Monroe, NY)
- …discharge service needs, and the effective utilization of community services ;* Educate individual and family about the nature of the disorder/illness and ... NY HELP No Agency Addiction Services and Supports, Office of Title Hourly Licensed...Master Health Counselor (LMHC) (Hourly) will serve as a member of a multidisciplinary treatment team. The incumbent will… more
- Banner Health (AZ)
- …Health Cost Containment System (AHCCCS) and Centers for Medicare and Medicaid Services (CMS) standards and reporting requirements. PREFERRED QUALIFICATIONS ... **Department Name:** Banner Staffing Services -AZ **Work Shift:** Day **Job Category:** Risk, Quality...your career with Banner Health. As a BSS team member , you are eligible to apply (at any time)… more
- Carle Health (Peoria, IL)
- Overview Under the general supervision of the Supervisor , ACT will provide behavioral health assessment and treatment planning, case management, support, education, ... and intervention to ACT clients. Function as an effective team member and represent the agency in a professional manner. Qualifications **License/Certifications:**… more
- CareFirst (Baltimore, MD)
- …Advantage) in a healthcare payor organization. + Knowledge of CareFirst system, Member /Provider Service , Claims or Care Management experience a plus. ... and external stakeholders, without breaching confidentiality of medical information. + Assists Supervisor and Appeals Specialist II and III with unit projects and… more
- Hartford HealthCare (Newington, CT)
- …across the system. *_Position Summary:_* Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor , assure timely ... the system as a whole, rather than a single member organization. With the creation of our new umbrella...overpayments via payer portal, payer chat or payer customer service , analyze claim adjustment reason codes, analyze remittance advice… more
- MyFlorida (Largo, FL)
- …Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with ... Title: ACCOUNTANT III-HEALTH INSURANCE BILLING - 50000010 1 Pay Plan: Career Service Position Number: 50000010 Salary: $39,304.94 + CAD $644.80 Posting Closing Date:… more
- State of Colorado (Pueblo, CO)
- …Full Time Job Number IJD 01010 1/8/26 Department Colorado Department of Human Services Division OAADS - Pueblo Regional Center Opening Date 01/08/2026 Closing Date ... work unit exists to provide skilled nursing support and services on a 24hr/7 days per week basis to...nurse as needed. This position exists as a unit supervisor who is responsible for supervising and coordinating shift… more